Individual
SHANNON G STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4411 THE 25 WAY NE, ALBUQUERQUE, NM 87109-5857
(505) 702-9970
Mailing address
4411 THE 25 WAY NE, ALBUQUERQUE, NM 87109-5857
(505) 816-2902
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-08300
NM
Other
Enumeration date
03/23/2020
Last updated
01/12/2022
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