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Individual

MRS. AMY JOLENE OWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1320 S SOLANO DR, LAS CRUCES, NM 88001-3758
(575) 522-9017
Mailing address
PO BOX 1868, LAS CRUCES, NM 88004-1868

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-07010
NM

Other

Enumeration date
08/11/2010
Last updated
08/11/2010
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