Individual
JESSICA L DUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
49TH MEDICAL GROUP/SGHW, 280 FIRST STREET, HOLLOMAN AFB, NM 88330-8273
(575) 572-5880
(575) 572-3003
Mailing address
49TH MEDICAL GROUP/SGHW, 280 FIRST STREET, HOLLOMAN AFB, NM 88330-8273
(575) 572-5880
(575) 572-3003
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-07534
NM
Other
Enumeration date
02/01/2010
Last updated
08/22/2014
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