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1194912121
ELISSA LYNN SHAW
AUSTIN, TX
NPI
1194912121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 50393)
Enumeration Date
2007-10-03
Last Update Date
2014-01-08
Business Address
Ms. ELISSA LYNN SHAW LCSW
5015 S IH 35
AUSTIN, TX 73301-2701
Phone number: 512-804-3220
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Mailing Address
Ms. ELISSA LYNN SHAW LCSW
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-472-4357
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