Morgan M Shupe, CSW
Community Health Worker in Socorro, NM. Individual provider (NPI-1).
NPI number1003673005
StatusActive
Last updated in NPPESMar 13, 2024
Details
- NPI
- 1003673005
- Entity type
- Individual (NPI-1)
- Name
- Morgan M Shupe
- Credential
- CSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2024
- Certification date
- Mar 11, 2024
- Last updated
- Mar 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1200 Us-60Socorro, NM 87801
Phone 575-835-2444
Mailing address
1200 Us-60Socorro, NM 87801
Phone 575-835-2444
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