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Individual

MRS. JULIE L SCHUMPELT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.S.

Contact information

Practice address
213 PASEO DEL CANON E, TAOS, NM 87571-6239
(505) 758-5223
(505) 758-5298
Mailing address
4 LAVENDER LN, RANCHOS DE TAOS, NM 87557-8771
(505) 751-1089

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
225777
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47954353
NM
Enumeration date
12/18/2006
Last updated
07/09/2007
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