Provider Information for 1215404025
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Mrs. LUCY ALICIA SHIPMON Social Worker
Sex: Female
NPI: 1215404025
Last Updated: 2018-10-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1215404025 | ||||||||
| Enumeration Date | 2018-10-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1901 VETERANS MEMORIAL DR TEMPLE, TX 76504-7451 United States Phone: 254-899-7664 | Fax: | ||||||||
| Primary Practice Address | 1901 VETERANS MEMORIAL DR TEMPLE, TX 76504-7451 United States Phone: 254-899-7664 | Fax: | ||||||||
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