Individual
ELLOUISE HARVEY DARWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
516 E. NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1396
Mailing address
P.O. BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 722-1396
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-2305
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39833330
—
NM
Enumeration date
10/31/2006
Last updated
06/27/2012
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