Individual
WILFRED SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUBSTANCE ABUSE COUN
Contact information
Practice address
1/2 MILE NORTHEAST DILKON BASHAS STORE, WINSLOW, AZ 86047
(928) 657-8000
(928) 657-8009
Mailing address
PO BOX 7072, WINSLOW, AZ 86047-7072
(928) 657-8000
(928) 657-8009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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