MS. Shellie Waterman, LCSW

NPI #1801335633 in Chubbuck, Idaho

Provider Information

NPI Number: 1801335633
Entity Type: Individual
Name: MS. Shellie Waterman, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Feb 13, 2017
Last Updated: Feb 13, 2017

Practice Location

Address: 210 W BURNSIDE AVE
Address 2: SUITE A
City: Chubbuck
State: Idaho
ZIP Code: 83202-4916
Phone: (208) 238-9000

Specialties & Taxonomy Codes

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

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