Individual
JUDY ELLEN RUST-HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
610 ALTA VISTA ST, SANTA FE, NM 87505-4149
(505) 467-2504
Mailing address
PO BOX 23, 1100 SOARING EAGLE CT., CHROMO, CO 81128-0023
(970) 264-9203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-07020
NM
1041S0200X
School Social Worker
328987
NM
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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