Individual
MARIE A GUTIERREZ-DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
428 LOS LENTES RD SE # 3, LOS LUNAS, NM 87031-6018
(505) 865-3350
Mailing address
81 STOREY AVE, BELEN, NM 87002-9203
(505) 388-4925
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-11450
NM
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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