Brian D. Shaw, CM

NPI #1396949517 in Wynne, Arkansas

Provider Information

NPI Number: 1396949517
Entity Type: Individual
Name: Brian D. Shaw, CM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: CM
Enumeration Date: Jun 12, 2007
Last Updated: Dec 30, 2014

Practice Location

Address: 204 MISSISSIPPI ST S
City: Wynne
State: Arkansas
ZIP Code: 72396-3025
Phone: (870) 208-8499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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