NPI | 1457733776 |
---|---|
Former Name | DAWNN SHELTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 56658) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 10003-C) |
1041C0700X Social Worker, Clinical (Licence: IN 34009797A) | |
1041C0700X Social Worker, Clinical (Licence: PA CW023043P) | |
Enumeration Date | 2015-06-23 |
Last Update Date | 2024-11-03 |