Most Relevant Information
Provider Data
| NPI Number: | 1003487778 |
| Provider Name: | STEPHANIE SI-YU SHAO LGSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LG200001471 |
Most Important Dates
| Enumeration Date: | 07/05/2021 |
| Last Updated: | 10/27/2023 |
Provider Practice Location
1025 VERMONT AVE NW STE 310
WASHINGTON
DC
200056302
Practice Location Phone/Fax
| Phone: | 2022934580 |
| Fax: |
Provider Mailing Location
1025 VERMONT AVE NW STE 310
WASHINGTON
DC
200056302
Provider Mailing Phone/Fax
| Phone: | 2022934580 |
| Fax: |