Susan Ann Shaw, LCSW

NPI #1578657904 in Fort Sill, Oklahoma

Provider Information

NPI Number: 1578657904
Entity Type: Individual
Name: Susan Ann Shaw, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LCSW
Enumeration Date: Oct 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4301 MOW-WAY ROAD
Address 2: REYNOLDS ARMY COMMUNITY HOSPITAL
City: Fort Sill
State: Oklahoma
ZIP Code: 73505-6300
Phone: (580) 458-2134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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