Search › Georgia › 103TC0700X
Dante Shaw, PH.D
NPI 1841366630 · on the registry since 2006 · sole proprietor
Practice
- Address
- 750 Longleaf Blvd
Suite D
Lawrenceville, GA 30045 - Phone
- (404) 556-4226
- Fax
- (770) 963-7490
- Organisation at this address
- A. Luke Lukens Lcsw Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Georgia