Individual
SHANNON SCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9615 AVENIDA DE LA LUNA NE, ALBUQUERQUE, NM 87111-1603
(505) 401-5086
Mailing address
9615 AVENIDA DE LA LUNA NE, ALBUQUERQUE, NM 87111-1603
(505) 401-5086
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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