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Individual

DR. ELIZABETH BELLE MAINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1096 MECHEM DR STE 205, RUIDOSO, NM 88345-7068
(505) 973-2022
Mailing address
116 MEADOWS DR, RUIDOSO, NM 88345-5823
(505) 973-2022

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0985
NM
103TC0700X
Clinical Psychologist
PSY18791
CA

Other

Enumeration date
10/23/2006
Last updated
07/08/2007
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