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1225336415
GERALD SHORTY
FARMINGTON, NM
NPI
1225336415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 0112581)
Enumeration Date
2011-03-11
Last Update Date
2011-03-11
Business Address
-- GERALD SHORTY LMHC
851 ANDREA DR STE 4
FARMINGTON, NM 87401-6726
Phone number: 505-269-5121
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Mailing Address
-- GERALD SHORTY LMHC
851 ANDREA DR. SUITE 4 BUILDING E
FARMINGTON, NM 87401
Phone number: 505-269-5121
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