TERESA I SHACKELFORD

BOISE, ID
NPI1326399387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-31375)
Enumeration Date2012-09-30
Last Update Date2012-09-30
Business Address
Ms. TERESA I SHACKELFORD LCSW
7275 W POTOMAC DR STE. A
BOISE, ID 83704-9150
Phone number: 208-284-0377
Mailing Address
Ms. TERESA I SHACKELFORD LCSW
6263 W COHIBA LN
BOISE, ID 83703-2848
Phone number: 208-284-0377
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