Individual
MRS. RENEE CHRISTINE HEACOX-WINBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
415 W HEMLOCK ST, DEMING, NM 88030-3622
(575) 694-5478
Mailing address
222 S TIN ST, DEMING, NM 88030-3645
(575) 694-5478
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06900
NM
Other
Enumeration date
03/18/2007
Last updated
09/22/2009
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