Carol Renninger LISW

NPI 1023001013 - Counselor - 101YM0800X

NPI Details
NPI 1023001013
Gender Female
Enumeration Date 08/25/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
1960 N DATE ST
T OR C NM, 87901-3701, US
Phone (505) 267-3088
Fax (505) 267-1747
Business Location
255 HWY 187
HATCH NM, 87937-0370, US
Phone (505) 267-3088
Fax (505) 267-1747
Taxonomy Code 101YM0800X
License State New Mexico
License Number I05359
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According to our database, Carol Renninger LISW NPI is 1023001013, taxonomy code is 101YM0800X and license number is I05359, license state is located at New Mexico. Carol Renninger LISW physically located at 1960 N Date St, T Or C NM, 87901-3701. NPI Number Carol Renninger LISW has the Individual type.

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1023001013 NPI number is provided on an as is basis without warranty of any kind. 1023001013 is maintained by the National Plan & Provider Enumeration System. The contents of Carol Renninger LISW are for informational purposes only.