Individual
SHAUNA M SAMORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1400 E 23RD ST, FARMINGTON, NM 87401-9076
(505) 599-8609
Mailing address
1400 E 23RD ST, FARMINGTON, NM 87401-9076
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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