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Individual

MAYRE MARGARET SHUTTLEWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, MA, LMHC, NCC

Contact information

Practice address
1213 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1703
(505) 272-3401
(505) 272-6091
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 272-6091

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0153161
NM

Other

Enumeration date
01/09/2013
Last updated
10/23/2024
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