Ellen Lorraine Van Dyke, CCSS

NPI #1285405175 in Tijeras, New Mexico

Provider Information

NPI Number
1285405175
Entity Type
Individual
Name
Ellen Lorraine Van Dyke, CCSS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Credential
CCSS
Enumeration Date
Jan 10, 2024
Last Updated
Jan 10, 2024

Practice Location

Address
1 CAMINO ORO CT
ZIP Code
87059-7924
Phone
(706) 593-8731

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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