Individual
SAVANNA SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1401 20TH ST S, BIRMINGHAM, AL 35205-4913
(205) 580-3014
Mailing address
713 COVINGTON AVE, BIRMINGHAM, AL 35206-3012
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5043C
AL
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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