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1023199338
SANDRA M FORTIER
RIO RANCHO, NM
NPI
1023199338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-06875)
Enumeration Date
2006-10-17
Last Update Date
2009-12-14
Business Address
-- SANDRA M FORTIER LISW
4351 JAGER DR NE SUITE C
RIO RANCHO, NM 87144-7523
Phone number: 505-410-5686
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Mailing Address
-- SANDRA M FORTIER LISW
4 CAMINO MESTENO
PLACITAS, NM 87043-8623
Phone number: 505-771-9279
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