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Individual

MARC COMTOIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
3465 MOUNTAIN VIEW BLVD, SUITE 13, ANGEL FIRE, NM 87710-0756
(575) 613-3361
Mailing address
PO BOX 756, ANGEL FIRE, NM 87710-0756
(575) 613-3361

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10249
NM

Other

Enumeration date
03/21/2018
Last updated
11/30/2018
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