Provider Demographics
NPI:1790207447
Name:LAWS, SHALAN DOMINIQUE (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:SHALAN
Middle Name:DOMINIQUE
Last Name:LAWS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 JAMESTOWN CIR
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-4915
Mailing Address - Country:US
Mailing Address - Phone:609-665-6975
Mailing Address - Fax:
Practice Address - Street 1:72 JAMESTOWN CIR
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-4915
Practice Address - Country:US
Practice Address - Phone:609-665-6975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-14
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical