Individual provider · Type 1 NPI

Sy-Quon D. Shaw

Mental Health Counselor · Washington, DC

NPI number 1104356708 Active

Practice location

1253 Walter St. SE
Washington, DC 20003

Call (202) 486-4409 Map

Mailing address

1253 Walter St SE
Washington, DC 20003-1449

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104356708

Sy-Quon D. Shaw's National Provider Identifier is 1104356708, issued on Jun 15, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Washington, DC. The record was last updated on Jun 15, 2017.