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Individual

DR. SHAUNCIE MARIE SKIDMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
77 WAINWRIGHT DR, WALLA WALLA, WA 99362-3975
(509) 525-5200
Mailing address
1706 FAIRWAY DR APT 405, WALLA WALLA, WA 99362-3707

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015425
MI
103TC0700X
Clinical Psychologist
LP2108
KS

Other

Enumeration date
05/15/2007
Last updated
08/15/2013
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