Individual
PHYLLIS SHINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1501 SAN PEDRO DR SE BLDG 471501, ALBUQUERQUE, NM 87108-5153
(505) 846-3200
Mailing address
6124 CUESTA PL NW, ALBUQUERQUE, NM 87120-2215
(505) 270-6001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09900
NM
Other
Enumeration date
03/07/2011
Last updated
04/20/2022
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