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726 E Michigan Dr Suite 136 Hobbs NM 88240-3467 | |
| (575) 605-7074 | |
| (575) 393-0521 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 726 E Michigan Dr, Hobbs, New Mexico |
| Authorized Official Name and Position | Ruth K Macy (OWNER) |
| Authorized Official Contact | 5756057074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
726 E Michigan Dr Suite 136 Hobbs NM 88240-3467 Ph: (575) 605-7074 | 726 E Michigan Dr Suite 136 Hobbs NM 88240-3467 Ph: (575) 605-7074 |
| NPI Number | 1073883039 |
|---|---|
| Provider Enumeration Date | 01/09/2012 |
| Last Update Date | 01/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073883039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-06024 (New Mexico) | Primary |
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