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Individual
MS. SHELLY D TURNER
Active
Individual
MS. SHELLY D TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED., LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15450
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10008972
AMERIGROUP PROV. NUMBER
TX
01
—
83615L
BCBS PROVIDER NUMBER
TX
Enumeration date
10/18/2006
Last updated
07/09/2007
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