Individual
MS. TWILA BECENTI-FUNDARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
355 S. MILLER, FARMINGTON, NM 87401-5617
(505) 566-0515
Mailing address
355 S MILLER AVE, FARMINGTON, NM 87401-6463
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-4224
NM
Other
Enumeration date
09/15/2008
Last updated
10/14/2011
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