Andrea B. Shaw, Lcsw | |
552 Edwardsville Road Troy IL 62294 | |
(618) 520-6963 | |
(618) 667-7609 |
Full Name | Andrea B. Shaw, Lcsw |
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Speciality | Social Worker - Clinical |
Location | 552 Edwardsville Road, Troy, Illinois |
Authorized Official Name and Position | Andrea Beth Shaw (SOLE PROPRIETOR) |
Authorized Official Contact | 6185206963 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Andrea B. Shaw, Lcsw P.o. Box 416 Troy IL 62294 Ph: (618) 520-6963 | Andrea B. Shaw, Lcsw 552 Edwardsville Road Troy IL 62294 Ph: (618) 520-6963 |
NPI Number | 1083786248 |
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Provider Enumeration Date | 11/14/2006 |
Last Update Date | 01/08/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083786248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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