Amy Dondanville Lcsw, Llc | |
522 Paseo Del Pueblo Norte Taos NM 87571-5908 | |
(575) 224-2710 | |
Not Available |
Full Name | Amy Dondanville Lcsw, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 522 Paseo Del Pueblo Norte, Taos, New Mexico |
Authorized Official Name and Position | April Bancroft (DIR OF OPERATIONS) |
Authorized Official Contact | 5053847352 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Amy Dondanville Lcsw, Llc Po Box 537 Taos NM 87571-0537 Ph: (575) 224-2710 | Amy Dondanville Lcsw, Llc 522 Paseo Del Pueblo Norte Taos NM 87571-5908 Ph: (575) 224-2710 |
NPI Number | 1649834771 |
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Provider Enumeration Date | 04/24/2019 |
Last Update Date | 07/05/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649834771 | NPI | - | NPPES |
1245606649 | Other | NM | TYPE 1 NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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