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Individual

MRS. TENELLE MARIE PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
705 S 5TH ST, RATON, NM 87740-4128
(505) 445-8568
Mailing address
705 S 5TH ST, RATON, NM 87740-4128
(575) 447-0406

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I06227
NM

Other

Enumeration date
05/17/2007
Last updated
04/14/2026
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