Shackelford, Maggie

Shackelford, Maggie is an individual health care provider with primary practice located at 4760 Sepulveda Blvd , Culver City CA 90230-4820. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Shackelford, Maggie can be contacted via phone (310) 390-6612.

Contact Information

Primary practice address
4760 Sepulveda Blvd Culver City CA 90230-4820
Phone: (310) 390-6612
Fax: (310) 398-5690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 84957 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 84957 California

Profile Details

NPI number 1609248715
LBN Legal business name Shackelford, Maggie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2015
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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