Search › California › 104100000X
Mary Kay Shastid, ASW
NPI 1871915413 · on the registry since 2014
Practice
- Address
- 3401 Beech Street
Building 949
Mcclellan, CA 95652 - Phone
- (517) 614-2683
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-01-16
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 California