Organization
WEST LAS VEGAS SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARLA K GRIEGO (MEDICAID COORDINATOR)
(505) 426-2554
Entity
Organization
Contact information
Practice address
179 BRIDGE ST, LAS VEGAS, NM 87701-3495
(505) 426-2554
(505) 426-2782
Mailing address
179 BRIDGE ST, LAS VEGAS, NM 87701-3495
(505) 426-2554
(505) 426-2782
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
271289
NM
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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