Ethel Shaw

NPI #1013215110 in Tucumcari, New Mexico

Provider Information

NPI Number
1013215110
Entity Type
Individual
Name
Ethel Shaw
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Mar 14, 2011
Last Updated
Mar 14, 2011

Practice Location

Address
1110 E. HIGH STREET
ZIP Code
88401
Phone
(575) 461-4411

Specialties & Taxonomy Codes

Specialty
Counselor

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