Individual
MARGO BRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
493 TERRACE, CHAMA, NM 87520-0204
(575) 756-9991
Mailing address
PO BOX 204, CHAMA, NM 87520-0204
(575) 756-9991
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-1124
NM
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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