Individual
MS. SHANNTELL DENESE COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1717 W 10TH ST, AUSTIN, TX 78703-3907
(512) 804-3177
(512) 804-3169
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 445-7787
(512) 440-4059
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
36297
TX
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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