Individual
SHELBRA THORLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8015 MOUNTAIN PL RD, ALBUQUERQUE, NM 87110
(505) 463-9539
Mailing address
324 VINEYARD RD NW, ALBUQUERQUE, NM 87107-5806
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I05253
NM
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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