MARIE THERESA SHACKELFORD

BOISE, ID
NPI1174068217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW36042)
Enumeration Date2016-12-28
Last Update Date2016-12-28
Business Address
-- MARIE THERESA SHACKELFORD LCSW
600 N ROBBINS RD
BOISE, ID 83702-4565
Phone number: 208-385-3245
Mailing Address
-- MARIE THERESA SHACKELFORD LCSW
600 N ROBBINS RD ST LUKE'S REHAB HOSPITAL
BOISE, ID 83702
Phone number: 208-385-3245
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