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Contact Information

ELOIS M MCKINZIE, MA MSW LISW
1390 E 20TH ST
FARMINGTON, NM87401-9037
 Phone: 505-599-8535
 Fax: 505-599-8536
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

1041S0200X
Indicates primary specialty

NPI Profile & details for ELOIS M MCKINZIE · (Female)

NPI # 1013088624
Status Active
Credentials MA MSW LISW
Entity Individual
Enumeration date 11/13/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NM License # I-04892
  • NM Medicaid 43683738
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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