Willie Shaw JR., ED.S. MA

NPI #1073535217 in Conway, South Carolina

Provider Information

NPI Number: 1073535217
Entity Type: Individual
Name: Willie Shaw JR., ED.S. MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: ED.S. MA
Enumeration Date: Jul 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 164 WACCAMAW MEDICAL PARK DR
City: Conway
State: South Carolina
ZIP Code: 29526-8903
Phone: (843) 347-5060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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