Individual
MS. MARY FRANCES SARRACINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
EXIT 114, US ROUTE 66, LAGUNA, NM 87026
(505) 552-9200
(505) 552-7294
Mailing address
PO BOX 367, LAGUNA, NM 87026-0367
(505) 552-9200
(505) 552-7294
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-3660
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M3660
LICENSED MASTERS SOCIAL W
NM
Enumeration date
04/18/2007
Last updated
07/08/2007
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