Elizabeth Shaw
Counselor, Professional in Waco, TX. Individual provider (NPI-1).
NPI number1013304591
StatusActive
Last updated in NPPESApr 22, 2015
Details
- NPI
- 1013304591
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Shaw
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2015
- Last updated
- Apr 22, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 64093 | TX | Yes |
Practice location
2121 W Waco DrWaco, TX 76707-3480
Phone 254-235-6542 · Fax 254-235-6254
Mailing address
2121 W Waco DrWaco, TX 76707-3480
Phone 254-235-6542 · Fax 254-235-6254
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