Provider Demographics
NPI:1316509102
Name:CURRY, SHIRLEY MARIE
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:MARIE
Last Name:CURRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 DEVON FOREST DR
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-7913
Mailing Address - Country:US
Mailing Address - Phone:704-506-8934
Mailing Address - Fax:
Practice Address - Street 1:174 DEVON FOREST DR
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-7913
Practice Address - Country:US
Practice Address - Phone:704-506-8934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty