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Individual
SHELLEY CARROLL LAFFERTY
Active
Individual
SHELLEY CARROLL LAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3684G
AL
1041C0700X
Clinical Social Worker
Primary
34007993A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
10/07/2015
Last updated
01/30/2018
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