MICHAEL OLLOM

BERNALILLO, NM
NPI1558370122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NM  LISW - I-05823)
Enumeration Date2006-08-05
Last Update Date2008-05-02
Business Address
MICHAEL OLLOM LISW
872 S CAMINO DEL PUEBLO
BERNALILLO, NM 87004-5927
Phone number: 505-867-2383
Mailing Address
MICHAEL OLLOM LISW
55 EL CEDRO RD
TIJERAS, NM 87059-7429
Phone number: 505-565-1619