Mark Ovrick Lisw Lssw | |
1096 Mechem Dr Suite 202 Ruidoso NM 88345-7067 | |
(575) 808-8380 | |
(575) 808-8380 |
Full Name | Mark Ovrick Lisw Lssw |
---|---|
Speciality | Social Worker - Clinical |
Location | 1096 Mechem Dr, Ruidoso, New Mexico |
Authorized Official Name and Position | Mark Ovrick (LICENSED INDEPENDENT SOCIAL WORKER) |
Authorized Official Contact | 5759375643 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mark Ovrick Lisw Lssw 1096 Mechem Dr Suite 202 Ruidoso NM 88345-7067 Ph: (575) 808-8380 | Mark Ovrick Lisw Lssw 1096 Mechem Dr Suite 202 Ruidoso NM 88345-7067 Ph: (575) 808-8380 |
NPI Number | 1407123789 |
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Provider Enumeration Date | 11/30/2011 |
Last Update Date | 11/30/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407123789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I-05300 (New Mexico) | Primary |
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