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Individual

EMILY MATHIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED. M, MA, NCSP

Contact information

Practice address
6020 CONSTITUTION AVE NE, SUITE 4, ALBUQUERQUE, NM 87110-5900
(505) 255-5099
(505) 255-4206
Mailing address
6020 CONSTITUTION AVE NE, SUITE 4, ALBUQUERQUE, NM 87110-5900
(505) 255-5099
(505) 255-4206

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
361587
NM

Other

Enumeration date
12/14/2016
Last updated
12/14/2016
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