Individual
RENEE DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 S PARK AVE, AZTEC, NM 87410-2253
(505) 334-9469
Mailing address
4308 CAMELLIA ST, FARMINGTON, NM 87402-4522
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
SWB-2024-1110
NM
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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