Individual
CORRINA M. PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1335 GUSDORF ROAD, BLDG E, TAOS, NM 87571
(575) 758-0670
(575) 751-3557
Mailing address
ST HWY 75 14086 B, PENASCO, NM 87553
(575) 770-2216
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-05746
NM
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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