Shantae Monique Shaw

NPI #1194258061 in South Hadley, Massachusetts

Provider Information

NPI Number: 1194258061
Entity Type: Individual
Name: Shantae Monique Shaw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Apr 7, 2017
Last Updated: Apr 7, 2017

Practice Location

Address: 258 OLD LYMAN RD
City: South Hadley
State: Massachusetts
ZIP Code: 01075-2653
Phone: (413) 896-9094

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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