Individual
ELIZABETH FORREST SHACKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 JENKINS RANCH RD UNIT E1, DURANGO, CO 81301-9473
(970) 422-3830
Mailing address
100 JENKINS RANCH RD UNIT E1, DURANGO, CO 81301-9473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.00001840
CO
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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