Individual
MS. TAMELA ANN MINNICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
PO BOX A, ZUNI, NM 87327-0166
(505) 782-5821
(505) 782-5505
Mailing address
PO BOX A, ZUNI, NM 87327-0166
(505) 782-5821
(505) 782-5505
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-06760
NM
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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