Individual
ALISA DONG OILOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 SEDONA MEADOWS DR NE, RIO RANCHO, NM 87144-8535
(000) 000-0000
Mailing address
524 SEDONA MEADOWS DR NE, RIO RANCHO, NM 87144-8535
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
08/20/2019
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