Individual
MONIQUE TERESE SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 N MULDOON RD, ANCHORAGE, AK 99504-6104
(907) 580-2624
Mailing address
1201 N MULDOON RD, ANCHORAGE, AK 99504-6104
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
64128
TX
Other
Enumeration date
12/10/2021
Last updated
04/15/2022
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