Individual
ANNETTE MIRABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 S WALNUT ST, SUITE C-6, LAS CRUCES, NM 88001-2617
(575) 527-5770
(575) 532-1928
Mailing address
151 S WALNUT ST, SUITE C-6, LAS CRUCES, NM 88001-2605
(575) 527-5770
(575) 532-1928
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C-08639
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C-08639
NM LCSW LICENSE
NM
Enumeration date
09/21/2015
Last updated
09/21/2015
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