Individual
ELLEN L KRUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 N CANYON ST, CARLSBAD, NM 88220-5812
(505) 234-3300
Mailing address
408 N CANYON ST, CARLSBAD, NM 88220-5812
(505) 234-3300
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
263992
NM
Other
Enumeration date
05/02/2007
Last updated
09/24/2007
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