Provider Demographics
NPI:1528088986
Name:CURRY, SHAUNTELE ELIZABETH (CSW)
Entity type:Individual
Prefix:
First Name:SHAUNTELE
Middle Name:ELIZABETH
Last Name:CURRY
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W. 1300 S.
Mailing Address - Street 2:URBAN INDIAN CENTER OF SALT LAKE
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84115
Mailing Address - Country:US
Mailing Address - Phone:801-486-4877
Mailing Address - Fax:801-214-7685
Practice Address - Street 1:120 W. 1300 S.
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115
Practice Address - Country:US
Practice Address - Phone:801-486-4877
Practice Address - Fax:801-214-7685
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6234927-35021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical