Katie Ann Louise Shaw, LICSW

NPI #1518046374 in Andover, Minnesota

Provider Information

NPI Number: 1518046374
Entity Type: Individual
Name: Katie Ann Louise Shaw, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Nov 3, 2006
Last Updated: Oct 2, 2024

Practice Location

Address: 1875 STATION PKWY NW
City: Andover
State: Minnesota
ZIP Code: 55304-3319
Phone: (763) 482-9598

Specialties & Taxonomy Codes

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

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