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MS. MARJORIE ANN CRARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
415 N PASEO DE ONATE, ESPANOLA, NM 87532-2619
(505) 927-1652
(505) 747-7413
Mailing address
1032 LOS ARBOLES CIR, ESPANOLA, NM 87532-3212
(505) 927-1652
(505) 747-7413

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LISW I-4522
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34659714
NM
01
58131
PRESBYTERIAN HEALTH CARE
NM
05
75182360
NM
Enumeration date
09/23/2006
Last updated
07/09/2007
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