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NPI Code Detail

MEDICARE: SHELLY M VALLEE LMSW

MEDICARE: SHELLY M VALLEE LMSW
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 Worker1995CAL
21041C0700XClinical Social Worker6801064249MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
251537550OTHERALBLUE CROSS OF AL
3630288854OTHERALUNITED BEHAVIORAL HEALTH

General Provider Information

NPI Number : 1023191996
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLY M VALLEE LMSW
Provider Business Mailing Address
First Line : 1714 EASTMAN AVE
Second Line :
City : MIDLAND
State : MI
Zip : 48640-4216
Country : US
Telephone Number : 989-631-5390
Fax Number :
Provider Business Practice Location Address
First Line : 1714 EASTMAN AVE
Second Line :
City : MIDLAND
State : MI
Zip : 48640-4216
Country : US
Telephone Number : 989-631-5390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 03/18/2021

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Directions to “ SHELLY M VALLEE LMSW” Practice Location

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