Individual
MRS. TERESA MUSICK SHAKIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
532 PHILLIPS BRANCH RD, VILAS, NC 28692-9426
(301) 758-8590
Mailing address
532 PHILLIPS BRANCH RD, VILAS, NC 28692-9426
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P013027
NC
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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