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1811015837
MARY JO RANELLS BACA
LOS LUNAS, NM
NPI
1811015837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM M-06042)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
Mrs. MARY JO RANELLS BACA LMSW, MPH
2112 MAIN ST NE SUITE A
LOS LUNAS, NM 87031-6353
Phone number: 505-865-6176
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Mailing Address
Mrs. MARY JO RANELLS BACA LMSW, MPH
617 EDITH BLVD NE #5
ALBUQUERQUE, NM 87102-2570
Phone number: 505-239-9369
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