Individual
SONAL SHACKELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2908 CONCERTO CT, APEX, NC 27539-3615
(919) 363-7585
Mailing address
1913 N HILLS DR UNIT B, RALEIGH, NC 27612-4028
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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