Shaverence Lawanda Outlaw is a Recreation Therapist based in Winston Salem, NC. Shaverence Lawanda Outlaw practices in Winston Salem, NC and has the professional credentials of LRT/CTRS. The NPI Number for Shaverence Lawanda Outlaw is 1194356170 and holds a License No. 3879 (North Carolina).
The current practice location address for Shaverence Lawanda Outlaw is 3890 Old Vineyard Rd Apt 86B, Winston Salem, NC and can be reached out via phone at 336-604-4537. You can also correspond with Shaverence Lawanda Outlaw through the mailing address at 615 SAINT GEORGE SQUARE CT STE 300, WINSTON SALEM, NC - 27103-1368 (mailing address contact number: 336-604-4537).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3879 | 01 | NC | NCBRTL |
| 80617 | 01 | CTRS |
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