Individual
LYNN ATWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1208 RT 66, MORIARTY, NM 87035
(505) 832-9322
Mailing address
PO BOX 2057, MORIARTY, NM 87035
(505) 832-9322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-07183
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44842
—
NM
Enumeration date
03/29/2010
Last updated
04/07/2011
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