Individual
CAROLINA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4012 EL LLANO RD, LAS VEGAS, NM 87701-8941
(505) 429-6799
Mailing address
4012 EL LLANO RD, LAS VEGAS, NM 87701-8941
(505) 429-6799
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-10187
NM
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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