Individual
TANNER THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2360 INDIAN WELLS RD, ALAMOGORDO, NM 88310-4609
(575) 437-7404
(575) 439-2860
Mailing address
2360 INDIAN WELLS RD, ALAMOGORDO, NM 88310-4609
(575) 437-7404
(575) 439-2860
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2024-0320
NM
Other
Enumeration date
06/15/2024
Last updated
06/15/2024
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