Lisa Shaw

NPI #1124473251 in Bentonville, Arkansas

Provider Information

NPI Number: 1124473251
Entity Type: Individual
Name: Lisa Shaw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Apr 26, 2016
Last Updated: Apr 26, 2016

Practice Location

Address: 602 N WALTON BLVD
City: Bentonville
State: Arkansas
ZIP Code: 72712-4576
Phone: (479) 464-1060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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