Individual
MRS. SHIRLEY Y SHERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW AAC
Contact information
Practice address
902 CRYSTAL FALLS PKWY, LEANDER, TX 78641-3646
(512) 421-4023
(512) 259-2290
Mailing address
902 CRYSTAL FALLS PKWY, LEANDER, TX 78641-3646
(512) 421-4023
(512) 259-2290
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10620800
TX
104100000X
Social Worker
Primary
505976
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088CT
BCBS
TX
Enumeration date
08/29/2006
Last updated
12/19/2007
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