Individual
ELIZABETH RAYANNE HAUSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1040 SAKELARES BLVD, GRANTS, NM 87020-3819
(505) 876-1890
Mailing address
PO BOX 3643, MILAN, NM 87021-3643
(505) 658-5887
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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