Individual
MYRA M KERSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W FLORIDA ST, DEMING, NM 88030-6302
(575) 546-0427
Mailing address
501 W FLORIDA ST, DEMING, NM 88030-6302
(575) 546-0427
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
334880
NM
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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