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Individual

MRS. KAREN DIANE WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
180 N DATE ST, TRUTH OR CONSEQUENCES, NM 87901-2824
(505) 894-8383
(505) 894-0606
Mailing address
PO BOX 7, CABALLO, NM 87931-0007
(505) 743-3575
(505) 743-3579

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
300963
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05256208
NM
Enumeration date
04/02/2007
Last updated
07/09/2007
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