TRACY SHAW

RIO RANCHO, NM
NPI1629514633
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0141901)
Enumeration Date2017-01-13
Last Update Date2017-01-13
Business Address
-- TRACY SHAW LADAC
4100 BARBARA LOOP SE
RIO RANCHO, NM 87124-1000
Phone number: 505-702-8547
Mailing Address
-- TRACY SHAW LADAC
4100 BARBARA LOOP SE
RIO RANCHO, NM 87124-1000
Phone number: 505-702-8547
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