PHYLLIS ANITA SHAW

RAEFORD, NC
NPI1619832821
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  P021704)
Enumeration Date2025-12-19
Last Update Date2025-12-29
Business Address
PHYLLIS ANITA SHAW
632 W PROSPECT AVE
RAEFORD, NC 28376-2512
Phone number: 910-875-5590
Mailing Address
PHYLLIS ANITA SHAW
PO BOX 2062
RAEFORD, NC 28376-4062
Phone number: 910-633-3475