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Individual

LILA SHAWN EARWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1503 UNIVERSITY BLVD NE # A, ALBUQUERQUE, NM 87102-1708
(505) 243-2551
Mailing address
6518 SHIPROCK DR NE, RIO RANCHO, NM 87144-6314
(505) 514-8541

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/04/2023
Last updated
10/04/2023
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