Elsie Lee Shaw, MFT

NPI #1295941185 in Soulsbyville, California

Provider Information

NPI Number
1295941185
Entity Type
Individual
Name
Elsie Lee Shaw, MFT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Credential
MFT
Enumeration Date
May 15, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
16500 CORNUCOPIA MINE RD
ZIP Code
95372-9766
Phone
(209) 928-1255

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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