Tanya Johnson
Social Worker in Mora, NM. Individual provider (NPI-1).
NPI number1760891782
StatusActive
Last updated in NPPESAug 4, 2014
Details
- NPI
- 1760891782
- Entity type
- Individual (NPI-1)
- Name
- Tanya Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2014
- Last updated
- Aug 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | M-08343 | NM | Yes |
Practice location
3 Mora Valley Clinic RdMora, NM 87732-2202
Phone 575-387-2201 · Fax 575-387-9149
Mailing address
3 Mora Valley Clinic RdMora, NM 87732-2202
Phone 575-387-2201 · Fax 575-387-9149
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