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Individual

MR. MARK OVRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1204 MECHEM DR, SUITE 11, RUIDOSO, NM 88345-7213
(575) 258-4946
(575) 258-4949
Mailing address
1204 MECHEM DR, SUITE 11, RUIDOSO, NM 88345-7213
(575) 258-4946
(575) 258-4949

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18730
LA
1041C0700X
Clinical Social Worker
I-05300
NM

Other

Enumeration date
01/13/2009
Last updated
10/06/2024
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