TALIETH ANDREA MICHELLE SHAW Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149018174

License Status

NOT RENEWED

Business

First Name

TALIETH

Middle

ANDREA MICHELLE

Last Name

SHAW

Business Name

TALIETH ANDREA MICHELLE SHAW

Original Issue Date

12/23/2015

Effective Date

12/23/2015

Expiration Date

11/30/2017

City

BURTONSVILLE

State

Zip

20866

County

MARYLAND

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018