Individual
SHELLIE BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1125 E HAWAII AVE, NAMPA, ID 83686-6210
(208) 505-9990
(208) 944-9655
Mailing address
638 HUCKLEBERRY ST, MIDDLETON, ID 83644-5588
(208) 695-1678
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-
ID
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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