Individual
DR. LAURA J SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
219 KENT RD SUITE 14, NEW MILFORD, CT 06776-5528
(860) 350-1085
Mailing address
219 KENT RD SUITE 14, NEW MILFORD, CT 06776-5528
(860) 350-1085
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001549
CT
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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