POLLY A SHATTUCK

SANTA FE, NM
NPI1255572160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041S0200X Social Worker, School
(Licence: NM  M-07766)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: CO  CSW-1232)
Enumeration Date2009-03-23
Last Update Date2024-04-26
Business Address
POLLY A SHATTUCK LCSW
610 ALTA VISTA ST
SANTA FE, NM 87505-4149
Phone number: 970-336-4912
Mailing Address
POLLY A SHATTUCK LCSW
928 12TH ST
GREELEY, CO 80631-4024
Phone number: