MEDICARE: SANDRA SNYDER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041S0200X	School Social Worker	SWB-2025-0084	NM

General Provider Information

NPI Number	:	1801357512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA SNYDER

Provider Business Mailing Address
First Line	:	1750 PEAR ST SW
Second Line	:
City	:	DEMING
State	:	NM
Zip	:	88030-4421
Country	:	US
Telephone Number	:	575-546-6568
Fax Number	:	575-642-4104

Provider Business Practice Location Address
First Line	:	1750 PEAR ST SW
Second Line	:
City	:	DEMING
State	:	NM
Zip	:	88030-4421
Country	:	US
Telephone Number	:	575-546-6568
Fax Number	:	575-544-3656

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2019
Last Update Date	:	05/15/2026

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Directions to “ SANDRA SNYDER ” Practice Location

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