Organization
MARK OVRICK LISW LSSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OVRICK LISW (LICENSED INDEPENDENT SOCIAL WORKER)
(575) 937-5643
Entity
Organization
Contact information
Practice address
1096 MECHEM DR, SUITE 202, RUIDOSO, NM 88345-7067
(575) 808-8380
(575) 808-8380
Mailing address
1096 MECHEM DR, SUITE 202, RUIDOSO, NM 88345-7067
(575) 808-8380
(575) 808-8380
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05300
NM
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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