Individual
MRS. SHELLY MARIE AULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
805 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-3099
(505) 242-1010
(505) 242-1551
Mailing address
3120 BRIAN MEADOWS PL NW, ALBUQUERQUE, NM 87120-8808
(505) 261-0163
(505) 242-1551
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3075-S
NV
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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