Individual
MS. ALEXANDRA V, VON DIERGARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2325 CERRILLOS RD, SANTA FE, NM 87505-3373
(505) 438-0010
(505) 438-6011
Mailing address
314 GARCIA ST, SANTA FE, NM 87501-2892
(505) 310-4956
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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