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NPI Code Detail

MEDICARE: RAGINA SHAW CSW

MEDICARE: RAGINA SHAW CSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorNM

General Provider Information

NPI Number : 1518578491
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAGINA SHAW CSW
Provider Business Mailing Address
First Line : 530 DE MOSS ST
Second Line :
City : LORDSBURG
State : NM
Zip : 88045-2618
Country : US
Telephone Number : 575-542-2369
Fax Number : 575-542-2388
Provider Business Practice Location Address
First Line : 610 N SILVER ST
Second Line :
City : SILVER CITY
State : NM
Zip : 88061-6779
Country : US
Telephone Number : 575-956-6131
Fax Number : 575-956-6947
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2020
Last Update Date : 04/09/2024

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Directions to “ RAGINA SHAW CSW” Practice Location

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