Most Relevant Information
Provider Data
| NPI Number: | 1003440397 |
| Provider Name: | JAMIE L SHAW BA QMHS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/26/2020 |
| Last Updated: | 01/09/2024 |
Provider Practice Location
2587 BACK ORRVILLE RD
WOOSTER
OH
446919523
Practice Location Phone/Fax
| Phone: | 3302649597 |
| Fax: | 3302640946 |
Provider Mailing Location
2587 BACK ORRVILLE RD
WOOSTER
OH
446919523
Provider Mailing Phone/Fax
| Phone: | 3302649597 |
| Fax: | 3302640946 |