Individual
MANDY K HESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LCSW
Contact information
Practice address
101 S 2ND ST, RATON, NM 87740-3905
(575) 445-7090
Mailing address
101 S 2ND ST, RATON, NM 87740-3905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-07814
NM
1041S0200X
School Social Worker
M-06826
NM
Other
Enumeration date
05/24/2010
Last updated
12/08/2011
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