Individual
MARY LOU SAUCEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
2810 N SWAN ST, SILVER CITY, NM 88061-5853
(575) 956-5128
Mailing address
2810 N SWAN ST, SILVER CITY, NM 88061-5853
(575) 956-5128
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
B-1908
NM
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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