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Individual

HANNAH SHADER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
408 S 5TH ST, RATON, NM 87740-4010
(505) 603-0767
Mailing address
408 S 5TH ST, RATON, NM 87740-4010
(505) 603-0767

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary

Other

Enumeration date
02/10/2021
Last updated
02/10/2021
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