Etheredge And Shelton, Llc | |
207 E Hiram St Atlanta TX 75551-2661 | |
(903) 796-5061 | |
Not Available |
Full Name | Etheredge And Shelton, Llc |
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Speciality | Social Worker - Clinical |
Location | 207 E Hiram St, Atlanta, Texas |
Authorized Official Name and Position | Gay Hill Etheredge (PRESIDENT) |
Authorized Official Contact | 9032777732 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Etheredge And Shelton, Llc 1204 Holly St Atlanta TX 75551-1842 Ph: (903) 796-5061 | Etheredge And Shelton, Llc 207 E Hiram St Atlanta TX 75551-2661 Ph: (903) 796-5061 |
NPI Number | 1164668869 |
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Provider Enumeration Date | 12/30/2008 |
Last Update Date | 12/30/2008 |
Identifier | Type | State | Issuer |
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1164668869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 00276 (Texas) | Primary |
1041C0700X | Social Worker - Clinical | 02075 (Texas) | Secondary |
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