Individual
MS. VANESSA TAVAREZ-CORRAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1170 N SOLANO DR STE K, LAS CRUCES, NM 88001-2371
(575) 528-5127
Mailing address
1016 GILMER WAY, LAS CRUCES, NM 88005-1505
(575) 528-5127
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-06539
NM
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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