Heather D Ensign

NPI #1962860569 in Gallup, New Mexico

Provider Information

NPI Number: 1962860569
Entity Type: Individual
Name: Heather D Ensign
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - School
Enumeration Date: Feb 10, 2016
Last Updated: Feb 10, 2016

Practice Location

Address: 1000 E AZTEC AVE
City: Gallup
State: New Mexico
ZIP Code: 87301-5509
Phone: (505) 721-1807

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - School — School	1041S0200X	Primary

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