Individual
ANGEL MONDRAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1130 BUTTERFLY ROAD, TAOS, NM 87571
(575) 751-7688
(575) 751-7208
Mailing address
PO BOX 1597, TAOS, NM 87571-1597
(575) 751-7688
(575) 751-7208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-10155
NM
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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