Individual
MISS SHELBE JORDAN SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 766-5197
Mailing address
11912 INDIAN SCHOOL RD NE APT 4, ALBUQUERQUE, NM 87112-3542
(206) 488-5005
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2022-0425
NM
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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