Individual
SIERRA ROSE YAZZIE ASAMOA-TUTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3708 DULCE CT, GALLUP, NM 87301-4524
(612) 670-3709
Mailing address
PO BOX 10, REHOBOTH, NM 87322-0010
(612) 670-3709
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
22428
MN
1041C0700X
Clinical Social Worker
Primary
C-11727
NM
Other
Enumeration date
07/22/2013
Last updated
11/19/2024
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