Individual
LEE S. SHUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, LCSW
Contact information
Practice address
4313 CORRALES RD, CORRALES, NM 87048-8663
(505) 850-2684
(505) 899-4306
Mailing address
218 ASHLEY LN, CORRALES, NM 87048-8923
(505) 850-2684
(505) 899-4306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
36870
TX
1041C0700X
Clinical Social Worker
Primary
I-07939
NM
Other
Enumeration date
11/06/2006
Last updated
03/01/2013
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