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Individual

DR. JILL STRAITS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1317 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-4035
(505) 312-7296
Mailing address
PO BOX 10851, ALBUQUERQUE, NM 87184-0851
(505) 720-3371

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
1226
NM
103TC0700X
Clinical Psychologist
Primary
1226
NM
103TC2200X
Clinical Child & Adolescent Psychologist
1226
NM

Other

Enumeration date
09/01/2009
Last updated
02/18/2013
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