Gloria J Blea Johnson LISW

NPI 1023106432 - Social Worker - 1041C0700X

NPI Details
NPI 1023106432
Gender Female
Enumeration Date 10/11/2006
Last Updated 03/05/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
LAGUNA ACOMA MID SENIOR HIGH SCHOOL TEEN CENTER
CASA BLANCA NM, 87007, US
Phone (505) 552-6922
Fax (505) 552-9894
Business Location
LAGUNA ACOMA MID SENIOR HIGH SCHOOL TEEN CENTER
PO BOX 568
CASA BLANCA NM, 87007, US
Phone (505) 552-6922
Fax (505) 552-9894
Toxanomy
Taxonomy Code 1041C0700X
License State New Mexico
License Number I-07544
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According to our database, Gloria J Blea Johnson LISW NPI is 1023106432, taxonomy code is 1041C0700X and license number is I-07544, license state is located at New Mexico. Gloria J Blea Johnson LISW physically located at Laguna Acoma Mid Senior High School Teen Center, Casa Blanca NM, 87007. NPI Number Gloria J Blea Johnson LISW has the Individual type.

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1023106432 NPI number is provided on an as is basis without warranty of any kind. 1023106432 is maintained by the National Plan & Provider Enumeration System. The contents of Gloria J Blea Johnson LISW are for informational purposes only.