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Individual

MS. KAREN D. DWYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
425 SO CARSON RD, CARSON, NM 87517-0095
(575) 770-6396
(575) 376-7177
Mailing address
PO BOX 95, CARSON, NM 87517-0095
(575) 770-6396
(575) 758-3598

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1-4430
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NM 100311
NM
Enumeration date
01/05/2007
Last updated
12/28/2017
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