Individual
MRS. CAROL SUE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2928 W 5TH ST, FORT WORTH, TX 76107-2242
(817) 332-6348
Mailing address
2928 W 5TH ST, FORT WORTH, TX 76107-2242
(817) 332-6348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30502
TX
Other
Enumeration date
04/01/2009
Last updated
07/11/2011
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