Individual
ELLEN SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS-SC
Contact information
Practice address
1220 DREXEL DR, DAVIS, CA 95616-2123
(530) 757-5445
Mailing address
1220 DREXEL DR, DAVIS, CA 95616-2123
(530) 757-5445
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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