Individual
MARTHA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1302 EAST MAIN ST, TUCUMCARI, NM 88401
(575) 461-2200
(575) 461-2213
Mailing address
PO BOX 55, TUCUMCARI, NM 88401-0055
(505) 426-4405
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-06273
NM
Other
Enumeration date
09/28/2009
Last updated
01/06/2022
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