Individual
MARY ANN SHINNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
4004 CARLISLE BLVD NE, SUITE J, ALBUQUERQUE, NM 87107-4565
(505) 459-7565
(505) 294-5887
Mailing address
4004 CARLISLE BLVD NE, SUITE J, ALBUQUERQUE, NM 87107-4565
(505) 459-7565
(505) 294-5887
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I04569
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100096
—
NM
Enumeration date
09/13/2005
Last updated
04/25/2013
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