Individual
MS. MADELON JOHANNA WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
715 E IDAHO, BLDG 2 SUITE E, LAS CRUCES, NM 88001-4701
(575) 556-9585
(575) 556-9456
Mailing address
715 E IDAHO, BLDG 2 SUITE E, LAS CRUCES, NM 88001-4701
(575) 556-9585
(575) 556-9456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I3543
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
08/28/2006
Last updated
11/20/2015
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