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Individual

MINDY MCCLUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
2019 GALISTEO ST, D2, SANTA FE, NM 87505-2143
(505) 983-8225
Mailing address
20 BONITO RD, SANTA FE, NM 87508-8792
(505) 231-8550

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-09299
NM

Other

Enumeration date
09/17/2015
Last updated
09/17/2015
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