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Mallory Shaw, LMSW
NPI 1366135386 · on the registry since 2023 · sole proprietor
Practice
- Address
- 8745 Palm Breeze Rd Apt 1520
Jacksonville, FL 32256 - Phone
- (205) 615-7650
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida