Individual
VIRGINIA LILLIAN HOULDSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2904 SUDDERTH DR, RUIDOSO, NM 88345-6338
(281) 468-6875
Mailing address
PO BOX 7913, RUIDOSO, NM 88355
(281) 468-6875
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-08691
NM
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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