Individual
MRS. KATHY ANN THERIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 BERTHA RD STE B, TAOS, NM 87571-7148
(575) 758-4297
Mailing address
731 ZUNI ST, TAOS, NM 87571-5202
(928) 699-8149
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/07/2012
Last updated
03/18/2024
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