Heather D Ensign
Social Worker, School in Gallup, NM. Individual provider (NPI-1).
NPI number1962860569
StatusActive
Last updated in NPPESFeb 10, 2016
Details
- NPI
- 1962860569
- Entity type
- Individual (NPI-1)
- Name
- Heather D Ensign
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2016
- Last updated
- Feb 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041S0200X | Social Worker, School | X-09436 | NM | Yes |
Other names
- Heather D Gigstad (Former Name)
Practice location
1000 E Aztec AveGallup, NM 87301-5509
Phone 505-721-1807
Mailing address
1000 E Aztec AveGallup, NM 87301-5509
Phone 505-721-1807
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