Regina Donnette Shaw
Regina Donnette Shaw is a Professional Counselor in Glendale, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2021
Practice location Address checks out
1720 W Florist Ave Ste 125Glendale, WI 53209-3862
Phone: (414) 247-0801
Fax: (414) 247-0816
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 4981 (WI) |
|---|
Record details
| NPI number | 1760053813 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 8, 2021 |
| Last updated in NPPES | July 8, 2021 |
| Certification date | July 8, 2021 |
| Mailing address | 1720 W Florist Ave Ste 125, Glendale, WI 53209-3862 |
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