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Georgia Shaw
Mental Health Counselor in Oshkosh, Wisconsin
NPI 1508928730

Georgia Shaw is a Mental Health Counselor based in Oshkosh, WI and is specialized in Mental Health. Georgia Shaw practices in Oshkosh, WI. The NPI Number for Georgia Shaw is 1508928730 and holds a License No. 3052-125 (Wisconsin).

The current practice location address for Georgia Shaw is 220 Washington Ave, Oshkosh, WI and can be reached out via phone at 920-236-4600.

Location: 220 Washington Ave, Oshkosh, WI, 54903-2187
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Provider Profile Details
NPI Number
1508928730
Provider Name
Georgia Shaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
220 Washington Ave, Oshkosh, WI, 54903-2187
Phone Number
920-236-4600
Fax Number
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42139300 05 WI
42156000 05 WI
institution
Provider Business Practice Location Address Details
Address
220 Washington Ave
City
State
Zip
54901-5030
Phone Number
920-236-4600
Fax Number
person
Provider Business Mailing Address Details
Address
220 Washington Ave
City
State
Zip
54901-5030
Phone Number
920-236-4600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3052-125 (Wisconsin)
Definition
Definition to come...
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