Tanya Johnson

NPI #1760891782 in Mora, New Mexico

Provider Information

NPI Number: 1760891782
Entity Type: Individual
Name: Tanya Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 4, 2014
Last Updated: Aug 4, 2014

Practice Location

Address: 3 MORA VALLEY CLINIC RD
City: Mora
State: New Mexico
ZIP Code: 87732-2202
Phone: (575) 387-2201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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