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Individual

PATRICIA CORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1300 ENTERPRISE ROAD, SOCORRO, NM 87823-0027
(575) 418-8591
Mailing address
1300 ENTERPRISE RD., PO BOX 248, SOCORRO, NM 87823-0027
(575) 418-8591

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
08/30/2012
Last updated
10/19/2012
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