Individual
RANAE DEANNE HAVENS-BLACKERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 HERMOSA AVE., ARTESIA, NM 88210
(575) 746-3812
Mailing address
301 BULLDOG BLVD, ARTESIA, NM 88210-1899
(575) 746-3812
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-11098
NM
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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