Individual
CHARLES MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 OAK ST, LAS CRUCES, NM 88005-3425
(575) 523-2288
Mailing address
3100 OAK ST, LAS CRUCES, NM 88005-3425
(575) 523-2288
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-11800
NM
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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