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Individual

ADA DEL CARMEN SALAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
521 N MAIN ST STE B, CLOVIS, NM 88101-6606
(575) 265-9903
Mailing address
13164 MYSTIC PATH DR, EL PASO, TX 79938-3700
(903) 884-4480

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
M-10018
NM
104100000X
Social Worker
X-10076
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2026-0545
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77654722
NM
Enumeration date
06/27/2017
Last updated
05/05/2026
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