Individual
DENNIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 SUDDERTH DR, RUIDOSO, NM 88345-6103
(505) 257-2368
(505) 257-2141
Mailing address
1400 SUDDERTH DR, RUIDOSO, NM 88345-6103
(505) 257-2368
(505) 257-2141
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76132382
—
NM
Enumeration date
11/17/2006
Last updated
07/09/2007
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