MRS. Nicole Shackelford, LMSW

NPI #1497346944 in Aberdeen, Idaho

Provider Information

NPI Number: 1497346944
Entity Type: Individual
Name: MRS. Nicole Shackelford, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LMSW
Enumeration Date: Jan 28, 2021
Last Updated: Jan 28, 2021

Practice Location

Address: 318 W WASHINGTON AVE
City: Aberdeen
State: Idaho
ZIP Code: 83210-5502
Phone: (208) 397-4113

Specialties & Taxonomy Codes

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

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