CAROL RENNINGER

T OR C, NM
NPI1023001013
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  I05359)
Enumeration Date2005-08-25
Last Update Date2007-07-08
Business Address
-- CAROL RENNINGER LISW
1960 N DATE ST
T OR C, NM 87901-3701
Phone number: 505-267-3088
Mailing Address
-- CAROL RENNINGER LISW
255 HWY 187
HATCH, NM 87937-0370
Phone number: 505-267-3088
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