Individual
MRS. RENAE F HIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
501 S ABILENE AVE, PORTALES, NM 88130-6380
(505) 359-3707
Mailing address
201 COLORADO DR, PORTALES, NM 88130-7028
(505) 359-0138
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-05563
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04506065
—
NM
Enumeration date
01/17/2007
Last updated
07/09/2007
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