Individual
JANICE LARUE MERINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
249 WHITE MOUNTAIN DR, MESCALERO, NM 88340-9622
(575) 937-0444
Mailing address
PO BOX 311, MESCALERO, NM 88340-0311
(575) 937-0444
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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