Individual
MS. CHARLA ELLIOTT THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
820 PASEO DE PERALTA, SANTA FE, NM 87501-2233
(505) 986-9633
Mailing address
2000 CALLE LEJANO, SANTA FE, NM 87501-8910
(505) 995-8894
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-4032
NM
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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