Mark Ovrick Lisw Lssw
Social Worker, Clinical in Ruidoso, NM. Organization (NPI-2).
NPI number1407123789
StatusActive
Last updated in NPPESNov 30, 2011
Details
- NPI
- 1407123789
- Entity type
- Organization (NPI-2)
- Legal business name
- Mark Ovrick Lisw Lssw
- Organization subpart
- No
- Enumeration date
- Nov 30, 2011
- Last updated
- Nov 30, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I-05300 | NM | Yes |
Practice location
1096 Mechem DrSuite 202
Ruidoso, NM 88345-7067
Phone 575-808-8380 · Fax 575-808-8380
Mailing address
1096 Mechem DrSuite 202
Ruidoso, NM 88345-7067
Phone 575-808-8380 · Fax 575-808-8380
Authorized official
Mark Ovrick
Licensed Independent Social Worker
5759375643
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