Individual
NATHAN KARL SHACKELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LSW, MPA
Contact information
Practice address
314 S 6TH ST, MONTROSE, CO 81401-5719
(970) 240-3208
(970) 240-3211
Mailing address
314 S 6TH ST, MONTROSE, CO 81401-5719
(970) 240-3208
(970) 240-3211
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
816
CO
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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