SHANNON MEDINA

Social Worker

Active Individual
NPI: 1366092645

Practice Address

13 OLD SCHOOL RD
Penasco, NM 87553

Phone: (575) 587-2502

Specialties

Specialty Code Primary License
Social Worker - School 1041S0200X No 376369 (NM)
Social Worker 104100000X Yes X-11248 (NM)

Frequently Asked Questions

NPI 1366092645 is the National Provider Identifier for SHANNON MEDINA, a Social Worker provider located in Penasco, NM. This NPI was enumerated on September 18, 2019.
SHANNON MEDINA practices at 13 OLD SCHOOL RD, Penasco, NM 87553.

Quick Facts

NPI
1366092645
Type
Individual
Enumerated
Sep 18, 2019
Last Updated
Sep 18, 2019

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