SHANTAE MONIQUE SHAW

SOUTH HADLEY, MA
NPI1194258061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2017-04-07
Last Update Date2017-04-07
Business Address
-- SHANTAE MONIQUE SHAW
258 OLD LYMAN RD
SOUTH HADLEY, MA 01075-2653
Phone number: 413-896-9094
Mailing Address
-- SHANTAE MONIQUE SHAW
E25 MILL POND RD
BROAD BROOK, CT 06016-9107
Phone number: 860-987-3035