Most Relevant Information
Provider Data
| NPI Number: | 1003673005 |
| Provider Name: | MORGAN M SHUPE CSW |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/05/2024 |
| Last Updated: | 03/13/2024 |
Provider Practice Location
1200 US-60
SOCORRO
NM
87801
Practice Location Phone/Fax
| Phone: | 5758352444 |
| Fax: |
Provider Mailing Location
1200 US-60
SOCORRO
NM
87801
Provider Mailing Phone/Fax
| Phone: | 5758352444 |
| Fax: |