Individual
SHELLEY SUZANN BENAVIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 S 28TH ST, ABILENE, TX 79605-6335
(325) 201-4280
(325) 232-6304
Mailing address
2501 S 28TH ST, ABILENE, TX 79605-6335
(325) 201-4280
(325) 232-6304
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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