Individual
DIANDRA FLORETTA CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1200 N WHITE SANDS BLVD, ALAMOGORDO, NM 88310-6774
(866) 273-2451
Mailing address
1200 N WHITE SANDS BLVD, ALAMOGORDO, NM 88310-6774
(866) 273-2451
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64434826
—
NM
Enumeration date
09/04/2018
Last updated
09/21/2021
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