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Shannon Medina
NPI 1366092645 · on the registry since 2019
Practice
- Address
- 13 Old School Rd
Penasco, NM 87553 - Phone
- (575) 587-2502
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Also registered as
- School Social Worker
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico