Elizabeth C. Tudor, LCSW C-06550

NPI #1790800787 in Hillsboro, New Mexico

Provider Information

NPI Number: 1790800787
Entity Type: Individual
Name: Elizabeth C. Tudor, LCSW C-06550
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW C-06550
Enumeration Date: Mar 20, 2007
Last Updated: Mar 27, 2020

Practice Location

Address: 25 KINGSTON MAIN ST
City: Hillsboro
State: New Mexico
ZIP Code: 88042-9514
Phone: (575) 313-2385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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