Dyke, Mary Jane

Dyke, Mary Jane is an individual health care provider with primary practice located at 428 Marr St , Truth Or Consequences NM 87901-3381. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dyke, Mary Jane can be contacted via phone (575) 894-0043.

Contact Information

Primary practice address
428 Marr St Truth Or Consequences NM 87901-3381
Phone: (575) 894-0043
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X M09548 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X C-10591 New Mexico

Profile Details

NPI number 1184177131
LBN Legal business name Dyke, Mary Jane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2016
Last updated Nov 28th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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