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Teresa Shackelford, LCSW
NPI 1326399387 · on the registry since 2012
Practice
- Address
- 7275 W Potomac Dr
Ste. A
Boise, ID 83704 - Phone
- (208) 284-0377
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-30
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho