Individual
MARGO HURLOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 PINE CREST RD, TIJERAS, NM 87059-7646
(704) 305-1782
Mailing address
4 PINE CREST RD, TIJERAS, NM 87059-7646
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1648
NM
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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