Sally Ann Shaw

NPI #1174137863 in Jackson, Michigan

Provider Information

NPI Number: 1174137863
Entity Type: Individual
Name: Sally Ann Shaw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 1, 2020
Last Updated: Sep 1, 2020

Practice Location

Address: 3699 MILES RD.
City: Jackson
State: Michigan
ZIP Code: 49201
Phone: (517) 962-4861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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