Individual
RAN HILGENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2960 RODEO PARK DR W, SANTA FE COMMUNITY GUIDANCE CENTER, SANTA FE, NM 87505-6351
(505) 986-9633
Mailing address
2960 RODEO PARK DR W, SANTA FE COMMUNITY GUIDANCE CENTER, SANTA FE, NM 87505-6351
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1124134028
NM
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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