Individual
MECHTHILD EWERSMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 QUARTZ TRAIL, SANTA FE, NM 87505-8198
(505) 820-0914
Mailing address
55 QUARTZ TRAIL, SANTA FE, NM 87505-8198
(505) 820-0914
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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