Individual
MRS. SHANNON NICOLE BALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2902 DURANES RD NW, ALBUQUERQUE, NM 87104-2785
(505) 307-5592
Mailing address
301 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1578
(505) 596-0366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09829
NM
Other
Enumeration date
11/15/2012
Last updated
11/02/2022
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