Provider Information for 1346770542
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HOLLY ANN HEMMINGER MSW
Other Names:Former Name:HOLLY ANN RAINES-BAXTERSex: Female
NPI: 1346770542
Last Updated: 2020-03-08
Certification Date: 2020-03-08
Certification Date: 2020-03-08
Details
Name | Value | ||||||||||||
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NPI | 1346770542 | ||||||||||||
Enumeration Date | 2017-06-19 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 146 BLACKTAIL DEER AVE LAS CRUCES, NM 88007-5220 United States Phone: 575-526-9878 | Fax:575-526-7835 | ||||||||||||
Primary Practice Address | 133 WYATT DR STE 3 LAS CRUCES, NM 88005-2962 United States Phone: 575-526-9878 | Fax: | ||||||||||||
Secondary Practice Address(es) | 755 S TELSHOR BLVD STE 201B | ||||||||||||
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