Individual
MS. MIRIAM ELLIE DLOUHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
921 E 21ST ST, SUITE D, CLOVIS, NM 88101-4443
(505) 762-0212
(505) 762-0660
Mailing address
921 E 21ST ST, SUITE D, CLOVIS, NM 88101-4443
(505) 762-0212
(505) 762-0660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2434
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R543
BLUE CROSS/BLUE SHIELD
NM
Enumeration date
08/10/2006
Last updated
07/08/2007
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