Individual
TABITHA KAY SHACKLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6632 W MISSISSIPPI WAY, LAKEWOOD, CO 80232-5668
(720) 297-0295
Mailing address
6632 W MISSISSIPPI WAY, LAKEWOOD, CO 80232-5668
(720) 297-0295
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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