Individual
RYNE HEMSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1615 OJO COURT, FARMINGTON, NM 87401
(505) 564-4804
Mailing address
1615 OJO COURT, FARMINGTON, NM 87401
(505) 564-4804
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2024-0347
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/14/2022
Last updated
05/06/2024
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