Individual
SHALETTA BORDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
488 MARVIN PARKER RD, OZARK, AL 36360-7204
(336) 316-0462
Mailing address
488 MARVIN PARKER RD, OZARK, AL 36360-7204
(336) 316-0462
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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