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Individual
KIANA NICOLE SHELTON
Active
Individual
KIANA NICOLE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
73068
CA
1041C0700X
Clinical Social Worker
Primary
104713
TX
1041C0700X
Clinical Social Worker
Primary
91757
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73068
—
CA
Enumeration date
08/07/2017
Last updated
04/29/2026
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