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Organization

APRENDAMOS INTERVENTION TEAM PA

Active
Parent organization
APRENDAMOS INTERVENTION TEAM PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
APRENDAMOS INTERVENTION TEAM PA
Authorized official
MRS. MAGGIE PROVENCIO CFO (CFO)
(575) 526-6682
Entity
Organization

Contact information

Practice address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 526-6682
(575) 523-7954
Mailing address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 526-6682
(575) 523-7954

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
NM
252Y00000X
Early Intervention Provider Agency
Primary
NM

Other

Enumeration date
10/11/2016
Last updated
10/11/2016
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