Individual
DAVID HYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
213 PASEO DEL CANON, TAOS, NM 87571
(575) 758-5292
Mailing address
26046 HIGHWAY 64 EAST, TAOS, NM 87571
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M04842
NM
Other
Enumeration date
09/03/2008
Last updated
09/19/2008
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