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Individual

DESERII MONDRAGON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
405 S 6TH ST, ARTESIA, NM 88210-2079
(575) 746-4811
Mailing address
301 BULLDOG BLVD, ARTESIA, NM 88210-1731
(575) 746-3585

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-10245
NM

Other

Enumeration date
08/16/2018
Last updated
08/16/2018
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