Individual
HOLLY ELIZABETH BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N 1ST ST, BLOOMFIELD, NM 87413-5307
(505) 632-4300
Mailing address
520 N 1ST ST, BLOOMFIELD, NM 87413-5307
(505) 632-4300
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
408237
NM
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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