Individual
MS. MICHELLE ULIBARRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY
Contact information
Practice address
179 BRIDGE ST, LAS VEGAS, NM 87701-3495
(505) 426-2554
Mailing address
179 BRIDGE ST, LAS VEGAS, NM 87701-3495
(505) 426-2554
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
271289
NM
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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