Shaw, Shaundra

Shaw, Shaundra is an individual health care provider with primary practice located at 2210 Lake Springs Ln , Cordova TN 38016-5328. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Shaw, Shaundra can be contacted via phone (901) 831-0462.

Contact Information

Primary practice address
2210 Lake Springs Ln Cordova TN 38016-5328
Phone: (901) 831-0462
Fax: (901) 531-8026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Community Health Worker 172V00000X 1000000010766 Tennessee

Profile Details

NPI number 1346665478
LBN Legal business name Shaw, Shaundra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2014
Last updated Feb 26th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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