Individual
SARAH TRIVIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
820 HWY 478, ANTHONY, NM 88021
(575) 882-5101
(575) 882-2858
Mailing address
P.O. BOX 4430, ANTHONY, NM 88021
(575) 882-5101
(575) 882-2858
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-07853
NM
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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