| Igw Children's Hope Foundation | |
|
665 W Main St Farmington NM 87401-8428 | |
| (505) 787-2143 | |
| Not Available |
| Full Name | Igw Children's Hope Foundation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 665 W Main St, Farmington, New Mexico |
| Authorized Official Name and Position | Deborah Joslin (CEO) |
| Authorized Official Contact | 5057872143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Igw Children's Hope Foundation Po Box 1353 Farmington NM 87499-1353 Ph: () - | Igw Children's Hope Foundation 665 W Main St Farmington NM 87401-8428 Ph: (505) 787-2143 |
| NPI Number | 1972097897 |
|---|---|
| Provider Enumeration Date | 06/15/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972097897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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