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1225795859
SUSAN L. SHAW
MERIDIAN, MS
NPI
1225795859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C6447)
Enumeration Date
2021-11-18
Last Update Date
2021-12-01
Business Address
SUSAN L. SHAW LCSW
1205 22ND AVE
MERIDIAN, MS 39301-4010
Phone number: 601-483-2864
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Mailing Address
SUSAN L. SHAW LCSW
12391 HIGHWAY 491 S
UNION, MS 39365-8538
Phone number: 601-513-2476
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