Individual
ZACKARY POYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
1615 OJO COURT, FARMINGTON, NM 87401
(505) 564-4804
Mailing address
1615 OJO COURT, FARMINGTON, NM 87401
(505) 564-4804
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D06364152
—
AZ
Enumeration date
11/07/2018
Last updated
12/03/2018
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