Khani J Shaw
NPI #1396500237 in Locust Grove, Georgia
Provider Information
- NPI Number
- 1396500237
- Entity Type
- Individual
- Name
- Khani J Shaw
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Management
- Enumeration Date
- Feb 20, 2024
- Last Updated
- Feb 20, 2024
Practice Location
- Address
- 801 CARNEGIE CT
- City
- Locust Grove
- State
- Georgia
- ZIP Code
- 30248-2575
- Phone
- (470) 343-0773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Case Manager/Care Coordinator |
| Case Management |
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