Individual provider · Type 1 NPI

Mary M. Shaw, LPC

Professional Counselor · Quincy, IL

NPI number 1124210596 Active

Practice location

915 Vermont St
Quincy, IL 62301-3049

Fax (217) 222-4512

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1124210596

Mary M. Shaw, LPC's National Provider Identifier is 1124210596, issued on Aug 9, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Quincy, IL. The record was last updated on Aug 9, 2007.