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NPI Code Detail

MEDICARE: CHRISTINE SHELTON-KERR LCSW

MEDICARE: CHRISTINE SHELTON-KERR LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC009439NC

General Provider Information

NPI Number : 1215216205
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE SHELTON-KERR LCSW
Provider Business Mailing Address
First Line : 4925 LONG GROVE DR
Second Line :
City : KERNERSVILLE
State : NC
Zip : 27284-7168
Country : US
Telephone Number : 240-447-8375
Fax Number :
Provider Business Practice Location Address
First Line : 1101 CAROLINA ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1318
Country : US
Telephone Number : 336-333-6860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2011
Last Update Date : 05/29/2024

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