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Individual

SALLY HUNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
17570 NM 4, JEMEZ SPRINGS, NM 87025
(505) 250-3460
Mailing address
PO BOX 156, JEMEZ SPRINGS, NM 87025-0156
(505) 250-3460

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09374
NM
1041C0700X
Clinical Social Worker
M-08442
NM

Other

Enumeration date
04/03/2014
Last updated
08/26/2022
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