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Individual

MS. GLENDA FAE HILLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
3100 OAK ST, LAS CRUCES, NM 88005-3425
(575) 323-3354
(575) 523-3354
Mailing address
3100 OAK ST, LAS CRUCES, NM 88005-3425
(575) 323-3354
(575) 523-3354

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M1605
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
28952278
NM
Enumeration date
02/27/2007
Last updated
04/21/2017
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