Individual
BRENDA SHIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10314 BENT TREE DR, ROWLETT, TX 75089-8394
(972) 463-7970
(972) 463-7970
Mailing address
10314 BENT TREE DR, ROWLETT, TX 75089-8394
(972) 463-7970
(972) 463-7970
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
26690
TX
1041C0700X
Clinical Social Worker
Primary
26690
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040976502
—
TX
Enumeration date
02/28/2007
Last updated
09/13/2021
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