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Individual

MRS. LINDA A IONTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1611 LINDA DR, GALLUP, NM 87301-5619
(505) 870-6514
Mailing address
1611 LINDA DR, GALLUP, NM 87301-5619
(505) 870-6514

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-0817
NM

Other

Enumeration date
03/09/2022
Last updated
03/16/2022
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