Individual
SHELBY ERIN HAISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0340
Mailing address
7971 S 100 W, FAIRMOUNT, IN 46928-9713
(765) 618-3222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33008968A
IN
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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