Individual
MS. SHEREL E WHITED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 S ABILENE AVE, PORTALES, NM 88130-6380
(505) 359-3707
Mailing address
8155 NEW MEXICO 206, PORTALES, NM 88130-9757
(505) 356-8265
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-04675
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01376713
—
NM
Enumeration date
01/19/2007
Last updated
07/08/2007
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