Individual
MEGAN DELANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
404 HUNTER ST, ESPANOLA, NM 87532-2655
(505) 753-4123
Mailing address
102 N CORONADO AVE, ESPANOLA, NM 87532-2700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35588519
—
NM
05
—
X-10332
—
NM
Enumeration date
11/16/2018
Last updated
11/16/2018
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