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Mattie Lynn Shaw, MS
Mental Health Counselor in Tampa, Florida
NPI 1376112342

Mattie Lynn Shaw is a Mental Health Counselor based in Tampa, FL and is specialized in Mental Health. Mattie Lynn Shaw practices in Tampa, FL and has the professional credentials of MS. The NPI Number for Mattie Lynn Shaw is 1376112342 and holds a License No. (Florida).

The current practice location address for Mattie Lynn Shaw is 5707 N 22Nd St, Tampa, FL and can be reached out via phone at 813-239-8069.

Location: 5707 N 22Nd St, Tampa, FL, 33610-4350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376112342
Provider Name
Mattie Lynn Shaw
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
5707 N 22Nd St, Tampa, FL, 33610-4350
Phone Number
813-239-8069
Fax Number
Provider Enumeration Date
06/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5707 N 22Nd St
City
Tampa
State
Florida
Zip
33610-4350
Phone Number
813-239-8069
Fax Number
person
Provider Business Mailing Address Details
Address
5707 N 22Nd St
City
Tampa
State
Florida
Zip
33610-4350
Phone Number
813-239-8069
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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