Individual
SHELBY BOBELU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
45 PINSBARRI DR., ACOMA, NM 87034
(505) 552-6661
(505) 552-6426
Mailing address
PO BOX 328, ACOMA, NM 87034-0328
(505) 552-6661
(505) 552-6426
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-09679
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81488076
—
NM
Enumeration date
06/07/2017
Last updated
06/07/2017
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