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Individual

DR. MINDY GUTOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
7013 RIO GRANDE BLVD NW, LOS RANCHOS, NM 87107-6423
(505) 398-3624
Mailing address
7013 RIO GRANDE BLVD NW, LOS RANCHOS, NM 87107-6423
(505) 398-3624

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0936
NM
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0936
NM

Other

Enumeration date
06/09/2020
Last updated
06/09/2020
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