Individual
MISS DEZAREE TAMARA LEE SAMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
INTER
Contact information
Practice address
2413 YALE AVE, ALAMOGORDO, NM 88310-4536
(575) 740-6873
Mailing address
2413 YALE AVE, ALAMOGORDO, NM 88310-4536
(575) 740-6873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
04/26/2012
Last updated
08/23/2023
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