Individual
JOAN BRUMAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1213 MICHIGAN AVE, ALAMOGORDO, NM 88310-6725
(575) 921-1616
(575) 434-3253
Mailing address
PO BOX 1330, NORMAN, OK 73070-1330
(405) 307-6630
(405) 307-6660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I05349
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67659721
—
NM
Enumeration date
06/19/2006
Last updated
04/11/2013
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