| Andrea B. Shaw, Lcsw | |
|
552 Edwardsville Road Troy IL 62294 | |
| (618) 520-6963 | |
| (618) 667-7609 |
| Full Name | Andrea B. Shaw, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 552 Edwardsville Road, Troy, Illinois |
| Authorized Official Name and Position | Andrea Beth Shaw (SOLE PROPRIETOR) |
| Authorized Official Contact | 6185206963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea B. Shaw, Lcsw P.o. Box 416 Troy IL 62294 Ph: (618) 520-6963 | Andrea B. Shaw, Lcsw 552 Edwardsville Road Troy IL 62294 Ph: (618) 520-6963 |
| NPI Number | 1083786248 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 01/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083786248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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