Individual
CYNTHIA ELAINE SHOCKENCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2107 TRINITY MANOR LN, RICHMOND, TX 77469-7254
(707) 280-4264
Mailing address
2107 TRINITY MANOR LN, RICHMOND, TX 77469-7254
(707) 280-4264
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
61183
TX
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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