Individual
GEORGINA PORRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 WASHINGTON ST, ANTHONY, NM 88021-8846
(575) 882-6101
(575) 882-6926
Mailing address
PO BOX 70, ANTHONY, NM 88021-0070
(575) 882-6101
(575) 882-6926
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M08268
NM
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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