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1073520813
JOEY BLUE
TAOS, NM
NPI
1073520813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-4401)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
Ms. JOEY BLUE LISW
822B PASEO DEL PUBELO SUR
TAOS, NM 87571
Phone number: 505-758-9511
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Mailing Address
Ms. JOEY BLUE LISW
PO BOX 1840
RANCHOS DE TAOS, NM 87557-1840
Phone number: 505-758-9511
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