Individual
COLLEEN ANN SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 W HIGHWAY 290 STE 600B, DRIPPING SPRINGS, TX 78620-4034
(512) 858-1643
(512) 858-1643
Mailing address
PO BOX 1129, DRIPPING SPRINGS, TX 78620-1129
(512) 858-1643
(512) 858-1643
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00786
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00S17R
BC/BS OF TEXAS
TX
Enumeration date
08/10/2006
Last updated
07/09/2007
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