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Individual
MS. PATRICIA CAROLE SHELTON
Active
Individual
MS. PATRICIA CAROLE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
G09671
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133173
MAMSI
MD
01
—
258327
KAISER
MD
01
—
64276401
BC BS
MD
01
—
7201621
AETNA
MD
01
—
722622
NCPPO
MD
01
—
773407-00
MAGELLAN
MH
01
—
F127-0018
BC BS
DC
Enumeration date
03/08/2007
Last updated
07/08/2007
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