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Individual

CHRISTIAN SALAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
826 ANTHONY DR., ANTHONY, NM 88021
(575) 201-5135
(575) 449-4052
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-09842
NM
104100000X
Social Worker
X-09758
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
93824386
NM
Enumeration date
06/21/2016
Last updated
08/29/2018
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