person
Samantha T Willis, LBSW
School Social Worker in Deming, New Mexico
NPI 1518513316

Samantha T Willis is a School Social Worker based in Deming, NM and is specialized in School. Samantha T Willis practices in Deming, NM and has the professional credentials of LBSW. The NPI Number for Samantha T Willis is 1518513316 and holds a License No. B-3929 (New Mexico).

The current practice location address for Samantha T Willis is 1321 E Poplar St, Deming, NM and can be reached out via phone at 575-546-5951 and via fax at 575-546-5994. You can also correspond with Samantha T Willis through the mailing address at 1321 E POPLAR ST, DEMING, NM - 88030-4807 (mailing address contact number: 575-546-5951).

Location: 1321 E Poplar St, Deming, NM, 88030-4807
person
Provider Profile Details
NPI Number
1518513316
Provider Name
Samantha T Willis
Credential
LBSW
Provider Entity Type
Individual
Gender
Female
Address
1321 E Poplar St, Deming, NM, 88030-4807
Phone Number
575-546-5951
Fax Number
575-546-5994
Provider Enumeration Date
08/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61353311 05 NM
institution
Provider Business Practice Location Address Details
Address
1321 E Poplar St
City
State
Zip
88030-4807
Phone Number
575-546-5951
Fax Number
575-546-5994
person
Provider Business Mailing Address Details
Address
1321 E Poplar St
City
State
Zip
88030-4807
Phone Number
575-546-5951
Fax Number
575-546-5994
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
License No.
B-3929 (New Mexico)
Definition
Definition to come...
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