Individual
RACINE BITSOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 S MAIN AVE, AZTEC, NM 87410-2380
(505) 334-6364
Mailing address
PO BOX 24, TOHATCHI, NM 87325-0024
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
SWB-2024-0429
NM
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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