Provider Demographics
NPI:1407187297
Name:LA MERE, SHERYLE LYNN (PMSW)
Entity Type:Individual
Prefix:MRS
First Name:SHERYLE
Middle Name:LYNN
Last Name:LA MERE
Suffix:
Gender:F
Credentials:PMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3239
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87499-3239
Mailing Address - Country:US
Mailing Address - Phone:505-324-5855
Mailing Address - Fax:
Practice Address - Street 1:851 ANDREA DR., SUITE 4, BLDG E
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401
Practice Address - Country:US
Practice Address - Phone:505-324-5855
Practice Address - Fax:505-324-5896
Is Sole Proprietor?:No
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMX-06854104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker