Organization
RIO RANCHO MID-HIGH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA DOBSON (PRINCIPAL)
(505) 823-1569
Entity
Organization
Contact information
Practice address
1600 40TH ST NE, RIO RANCHO, NM 87144-7708
(505) 891-5335
Mailing address
1600 40TH ST NE, RIO RANCHO, NM 87144-7708
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
I-3395
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51523345
—
NM
Enumeration date
10/25/2007
Last updated
10/25/2007
Update your record
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