BRIAN D. SHAW

WYNNE, AR
NPI1396949517
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AR  5606c)
Enumeration Date2007-06-12
Last Update Date2014-12-30
Business Address
-- BRIAN D. SHAW CM
204 MISSISSIPPI ST S
WYNNE, AR 72396-3025
Phone number: 870-208-8499
Mailing Address
-- BRIAN D. SHAW CM
204 MISSISSIPPI ST S
WYNNE, AR 72396-3025
Phone number: 870-208-8499
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