Lataisha Shaw
Lataisha Shaw is an Addiction (Substance Use Disorder) Counselor in Myrtle Beach, South Carolina. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
104 George Bishop PkwyMyrtle Beach, SC 29579-7335
Phone: (843) 903-6212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1770254211 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 24, 2021 |
| Last updated in NPPES | September 24, 2021 |
| Certification date | September 24, 2021 |
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