| Shelton Family Center | |
|
123 S 2nd St Shelton WA 98584-3528 | |
| (360) 462-0125 | |
| Not Available |
| Full Name | Shelton Family Center |
|---|---|
| Speciality | Social Worker |
| Location | 123 S 2nd St, Shelton, Washington |
| Authorized Official Name and Position | Susan Kirchoff (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3604620125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelton Family Center Po Box 2341 Shelton WA 98584-5059 Ph: (360) 462-0125 | Shelton Family Center 123 S 2nd St Shelton WA 98584-3528 Ph: (360) 462-0125 |
| NPI Number | 1497500789 |
|---|---|
| Provider Enumeration Date | 04/19/2024 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497500789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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