Individual
HENRY SCHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
301 LOMA COLORADO ST NE, RIO RANCHO, NM 87124-6562
(505) 896-5618
Mailing address
9 CIENEGA CANYON RD, PLACITAS, NM 87043-9117
(505) 867-4321
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
I- 3742
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75461
—
NM
Enumeration date
01/31/2007
Last updated
07/09/2007
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