Individual
MS. RITA M SANTISTEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
314 DON FERNANDO ST, TAOS, NM 87571
(575) 751-7037
Mailing address
PO DRAWER KK, TAOS, NM 87571
(575) 737-0334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I - 1337
NM
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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