Individual
MS. SHANDIIN A CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 VENICE AVE NE STE A, ALBUQUERQUE, NM 87113-2337
(505) 916-2007
(505) 433-4490
Mailing address
12724 SAN JUAN AVE NE, ALBUQUERQUE, NM 87123-1638
(505) 917-1101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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