Organization
AUTISM AND EARLY INTERVENTION
Active
Organization
AUTISM AND EARLY INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZOE MIGEL LISW (EXECUTIVE DIRECTOR)
(505) 577-9515
Entity
Organization
Contact information
Practice address
826 CAMINO DEL MONTE REY, SANTA FE, NM 87505-3977
(505) 577-9515
Mailing address
826 CAMINO DEL MONTE REY, SANTA FE, NM 87505-3977
(505) 577-9515
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06152
NM
1041S0200X
School Social Worker
313856
NM
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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