Doctor Name: | SHARON PATRICIA DAINO |
NPI Number: | 1144237520 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | LISW I-4454 |
Business Practice Address: | 1209 Us Route 66 Moriarty, NM - 87035 |
Business Phone Number: | 5056608626 |
Business Fax Number: | |
Mailing Address: | Po Box 2838, MORIARTY |
State: | NM |
Postal Code: | 870352838 |
Phone Number: | 5056608626 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 03/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LISW I-4454 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |