Individual
MS. CLARISSA RENEE OTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER SOCIAL WORKER
Contact information
Practice address
100 E MONRILL, DEXTER, NM 88230
(505) 734-5420
(505) 734-6813
Mailing address
306 N KANSAS AVE, ROSWELL, NM 88201
(505) 623-3702
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
B4287
NM
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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