Leslie Marie Shadrick

NPI #1083805428 in Stockton, California

Provider Information

NPI Number: 1083805428
Entity Type: Individual
Name: Leslie Marie Shadrick
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 8, 2007
Last Updated: Jun 30, 2023

Practice Location

Address: 1328 WOODCREEK WAY
City: Stockton
State: California
ZIP Code: 95209-2051
Phone: (209) 638-7796

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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