Individual
REBECCA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
901 S HUNTINGTON ST, SYRACUSE, IN 46567-1923
(574) 457-4400
(574) 457-4141
Mailing address
2621 E JEFFERSON ST, WARSAW, IN 46580-3880
(574) 267-7169
(574) 269-4189
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33006924A
IN
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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