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Heather D Ensign
School Social Worker in Gallup, New Mexico
NPI 1962860569

Heather D Ensign is a School Social Worker based in Gallup, NM and is specialized in School. Heather D Ensign practices in Gallup, NM. The NPI Number for Heather D Ensign is 1962860569 and holds a License No. X-09436 (New Mexico).

The current practice location address for Heather D Ensign is 1000 E Aztec Ave, Gallup, NM and can be reached out via phone at 505-721-1807.

Location: 1000 E Aztec Ave, Gallup, NM, 87301-5509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962860569
Provider Name
Heather D Ensign
Credential
Provider Entity Type
Individual
Gender
Female
Address
1000 E Aztec Ave, Gallup, NM, 87301-5509
Phone Number
505-721-1807
Fax Number
Provider Enumeration Date
02/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 E Aztec Ave
City
Gallup
State
New Mexico
Zip
87301-5509
Phone Number
505-721-1807
Fax Number
person
Provider Business Mailing Address Details
Address
1000 E Aztec Ave
City
Gallup
State
New Mexico
Zip
87301-5509
Phone Number
505-721-1807
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
1041S0200X
License No.
X-09436 (New Mexico)
Definition
Definition to come...
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