Individual
BETSY A YAZZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-4468
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61081019
—
NM
Enumeration date
08/05/2007
Last updated
01/30/2008
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