Individual
TABATHA GLERUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 GOLF COURSE RD SE STE C, RIO RANCHO, NM 87124-5213
(505) 994-4100
(505) 994-1229
Mailing address
1207 GOLF COURSE RD SE STE C, RIO RANCHO, NM 87124-5213
(505) 994-4100
(505) 994-1229
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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