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1972149094
ERIKA GRUSSENDORF
PORTALES, NM
NPI
1972149094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NM C-10904)
Enumeration Date
2019-11-24
Last Update Date
2019-11-24
Business Address
MRS. ERIKA GRUSSENDORF LCSW
101 W 4TH ST
PORTALES, NM 88130-6306
Phone number: 575-519-0777
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Mailing Address
MRS. ERIKA GRUSSENDORF LCSW
PO BOX 433
TEXICO, NM 88135-0433
Phone number: 575-519-0777
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