Abigail Justine Shaw
NPI #1083115885 in Bloomington, Illinois
Provider Information
- NPI Number
- 1083115885
- Entity Type
- Individual
- Name
- Abigail Justine Shaw
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 27, 2018
- Last Updated
- Feb 27, 2018
Practice Location
- Address
- 108 W MARKET ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3918
- Phone
- (309) 827-5315
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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