Individual
MARYHELEN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3901 GEORGIA ST NE STE A4, ALBUQUERQUE, NM 87110-1391
(505) 891-1583
Mailing address
3901 GEORGIA ST NE STE A4, ALBUQUERQUE, NM 87110-1391
(505) 891-1583
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
X-06984
NM
1041C0700X
Clinical Social Worker
Primary
C-08572
NM
Other
Enumeration date
08/19/2009
Last updated
01/17/2025
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