Individual
MS. ELLEN J FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2019 GALISTEO ST, SUITE NO N2, SANTA FE, NM 87505-2143
(505) 699-4312
Mailing address
944A ALTO ST, SANTA FE, NM 87501-2405
(505) 988-4818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06240
NM
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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