SHANE A SHAW

METAIRIE, LA
NPI1710759493
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  00000)
Enumeration Date2023-10-25
Last Update Date2023-10-25
Business Address
Mr. SHANE A SHAW
3100 RIDGELAKE DR STE 309A
METAIRIE, LA 70002-4938
Phone number: 504-309-0259
Mailing Address
Mr. SHANE A SHAW
3100 RIDGELAKE DR STE 309A
METAIRIE, LA 70002-4938
Phone number: 504-309-0259
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