Individual
KATHERINE QUICK SSEJJEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 W BROADWAY ST, HOBBS, NM 88240-5529
(575) 393-3168
Mailing address
PO BOX 907, HOBBS, NM 88241-0907
(575) 393-3168
(575) 397-4659
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-12053
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26021722
—
NM
Enumeration date
04/22/2015
Last updated
12/30/2021
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