Tonya Lyn Shaw, LSW

NPI #1083996870 in Lake Villa, Illinois

Provider Information

NPI Number: 1083996870
Entity Type: Individual
Name: Tonya Lyn Shaw, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LSW
Enumeration Date: Sep 16, 2011
Last Updated: Sep 16, 2011

Practice Location

Address: 121 E GRAND AVE
City: Lake Villa
State: Illinois
ZIP Code: 60046-7829
Phone: (847) 377-8386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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