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Individual

SHELBY SUZANNE DEVOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
3301 NORTHLAND DR STE 320, AUSTIN, TX 78731-4952
(833) 731-3400
Mailing address
4500 QUICKSILVER BLVD, AUSTIN, TX 78744-5622
(737) 704-5147

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
69686
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
69686
TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL
TX
Enumeration date
02/06/2023
Last updated
02/06/2023
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