Organization
SHAYNA YEDRA-SCHAEFER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAYNA LEE SCHAEFER LISW (CLINICAL SOCIAL WORKER)
(505) 720-7702
Entity
Organization
Contact information
Practice address
1717 WILMOORE DR SE, ALBUQUERQUE, NM 87106-4128
(505) 720-7702
Mailing address
1717 WILMOORE DR SE, ALBUQUERQUE, NM 87106-4128
(505) 720-7702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06002
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10021694
LOVELACE
NM
05
—
73726851
—
NM
Enumeration date
05/12/2007
Last updated
09/24/2009
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