Individual
DEANNA DEVORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6 ROAD 7586, BLOOMFIELD, NM 87413-4934
(505) 368-8100
(505) 368-8028
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-8100
(505) 368-8028
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M4096
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39506878
—
NM
Enumeration date
12/07/2005
Last updated
03/09/2011
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