Individual
CHAD WAYNE SHAKLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 PINEWICKET WAY, PARKER, CO 80138
(303) 870-7273
Mailing address
1215 PINEWICKET WAY, PARKER, CO 80138
(303) 870-7273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992132
CO
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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