Individual
GEORGE FRITZ HAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1003 GUSDORF RD, TAOS, NM 87571-6615
(575) 758-9585
Mailing address
PO BOX 402, RANCHOS DE TAOS, NM 87557-0402
(575) 758-9585
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-07430
NM
1041C0700X
Clinical Social Worker
M 06813
NM
Other
Enumeration date
07/30/2009
Last updated
12/13/2012
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