Search › North Carolina › 101YA0400X
Jeffrey Shaw, CRC, LCASA
NPI 1730577073 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3098 Glen Laurel Ln
Winston Salem, NC 27107 - Phone
- (336) 287-5063
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-01-08
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 North Carolina