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Individual

DR. SHALICE MCKNIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2363
(817) 735-2653
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-2363

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
DO034474
DC
2084P0800X
Psychiatry Physician
Primary
U2268
TX
2084P0804X
Child & Adolescent Psychiatry Physician
0102204389
VA
2084P0804X
Child & Adolescent Psychiatry Physician
DO034474
DC
2084P0804X
Child & Adolescent Psychiatry Physician
U2268
TX

Other

Enumeration date
06/26/2014
Last updated
05/01/2023
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