Individual
MARY SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 S JACKSON AVE STE 101, WYLIE, TX 75098-3334
(214) 578-1545
Mailing address
403 S JACKSON AVE STE 101, WYLIE, TX 75098-3334
(214) 578-1545
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2019005770
MO
104100000X
Social Worker
Primary
62627
TX
Other
Enumeration date
09/07/2019
Last updated
04/05/2023
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