Individual
MISS TERRY THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1224 MAPLE MEADOWS DR NE, RIO RANCHO, NM 87144-2557
(505) 917-4249
Mailing address
1224 MAPLE MEADOWS DR NE, RIO RANCHO, NM 87144-2557
(505) 917-4249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05820
NM
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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