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Organization

OPEN HOUSE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH A. REUMANN LISW (MANAGING DIRECTOR)
(505) 718-6930
Entity
Organization

Contact information

Practice address
1119 DOUGLAS AVE, LAS VEGAS, NM 87701-3932
(505) 718-6930
(505) 454-3803
Mailing address
1119 DOUGLAS AVE, LAS VEGAS, NM 87701-3932
(505) 718-6930
(505) 454-3803

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-4116
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000G1676
NM
Enumeration date
10/27/2006
Last updated
02/06/2008
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