MS. Geletta Philae Shavers

NPI #1093148249 in Benton, Arkansas

Provider Information

NPI Number: 1093148249
Entity Type: Individual
Name: MS. Geletta Philae Shavers
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 12, 2013
Last Updated: Jan 22, 2020

Practice Location

Address: 105 COX ST
City: Benton
State: Arkansas
ZIP Code: 72015-4611
Phone: (501) 906-4250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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