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Individual

MS. TAMI LYNN OSBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1123 VERMONT AVE, ALAMOGORDO, NM 88310-6340
(575) 415-9270
(208) 978-7050
Mailing address
PO BOX 1512, ALAMOGORDO, NM 88311-1512
(402) 350-0612

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-06310
NM
1041C0700X
Clinical Social Worker
I-06310
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
79206352
NM
Enumeration date
10/16/2006
Last updated
06/16/2018
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