Organization
AZTEC MUNICIPAL SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMERA KLOHN (MEDICAID COORDINATOR)
(505) 334-3695
Entity
Organization
Contact information
Practice address
1607 W AZTEC BLVD, AZTEC, NM 87410-1805
(505) 334-3695
Mailing address
1607 W AZTEC BLVD, AZTEC, NM 87410-1805
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-08762
NM
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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