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Contact Information

MARY JO H SHORTES, LISW
#1 FOSTER ROAD
RESERVE, NM87830
 Phone: 575-533-6456
 Fax: 575-533-6767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARY JO H SHORTES · (Female)

NPI # 1730312489
Status Active
Credentials LISW (Licensed Independent Social Worker)
Entity Individual
Enumeration date 08/28/2009
Last updated 01/24/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NM License # I-06997
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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