Individual
MS. KAREN A MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW MSW 4346123
Contact information
Practice address
153 BARNARD RD, CORRALES, NM 87048-6501
(262) 490-5465
(505) 899-1576
Mailing address
153 BARNARD RD, CORRALES, NM 87048-6501
(262) 490-5465
(505) 899-1576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4346123
WI
1041C0700X
Clinical Social Worker
Primary
C-10194
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4346123
LCSW
WI
05
—
43585500
—
WI
Enumeration date
01/11/2007
Last updated
12/13/2024
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