Individual
VANESSA STROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
143 EL PASO RD, RUIDOSO, NM 88345
(575) 257-2368
Mailing address
143 EL PASO RD, RUIDOSO, NM 88345-6033
(575) 257-2368
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
X-10497
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
—
01
—
00
INDIVIDUAL
NM
Enumeration date
08/14/2018
Last updated
08/15/2018
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