Individual
ANGELA LYNN TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 S TELSHOR BLVD STE 201B, LAS CRUCES, NM 88011-3647
(575) 323-0940
Mailing address
2563 KENTWOOD CT, LAS CRUCES, NM 88011-4326
(575) 496-5775
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-10891
NM
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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