Individual
LELILAH TODACHEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 CAMINA REAL, FARMINGTON, NM 87401
(505) 599-8603
Mailing address
2001 N DUSTIN AVE, FARMINGTON, NM 87401-2120
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-10061
NM
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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