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1205428349
ALEXANDRA CORLEY SHAW
GREENVILLE, SC
NPI
1205428349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: SC 24667)
Enumeration Date
2021-02-10
Last Update Date
2022-08-24
Business Address
ALEXANDRA CORLEY SHAW PMHNP-BC
429 ROPER MOUNTAIN RD STE 901
GREENVILLE, SC 29615-4254
Phone number: 864-734-7165
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Mailing Address
ALEXANDRA CORLEY SHAW PMHNP-BC
1 PENNWOOD LN
GREENVILLE, SC 29609-1643
Phone number: 803-269-8685
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