Individual
MICHELE FOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 SMITH AVE, T OR C, NM 87901
(575) 894-8372
Mailing address
1321 E POPLAR ST, DEMING, NM 88030-4807
(575) 546-5951
(575) 546-5994
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-10010
NM
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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