HEIDI FENTON

HOLLOMAN AFB, NM
NPI1104900059
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  I-06306)
Enumeration Date2006-10-25
Last Update Date2023-07-24
Business Address
HEIDI FENTON MA
280 1ST ST BLDG 23
HOLLOMAN AFB, NM 88330-8273
Phone number: 575-572-2778
Mailing Address
HEIDI FENTON MA
PO BOX 514
TUCUMCARI, NM 88401
Phone number: 505-461-8639
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