Search › Idaho › 1041C0700X
Nicole Shackelford, LMSW
NPI 1497346944 · on the registry since 2021
Practice
- Address
- 318 W Washington Ave
Aberdeen, ID 83210 - Phone
- (208) 397-4113
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-28
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