Conise Shaw, LMSW

NPI #1124704572 in Elmont, New York

Provider Information

NPI Number
1124704572
Entity Type
Individual
Name
Conise Shaw, LMSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker
Credential
LMSW
Enumeration Date
Jun 22, 2023
Last Updated
Jun 22, 2023

Practice Location

Address
1401 BLOSSOM ST
City
Elmont
ZIP Code
11003-2503
Phone
(347) 650-9627

Specialties & Taxonomy Codes

Specialty
Social Worker

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