Individual
GREG EVAN YELLOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
501 AIRPORT DR STE 260, FARMINGTON, NM 87401-2401
(505) 327-0293
Mailing address
475 E 20TH ST STE D, FARMINGTON, NM 87401-2151
(505) 327-0293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10596
NM
Other
Enumeration date
01/30/2019
Last updated
10/02/2020
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