Individual
SUSAN B MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
605 LETRADO ST STE C, SANTA FE, NM 87505-4146
(505) 476-2644
Mailing address
605 LETRADO ST STE C, SANTA FE, NM 87505-4146
(505) 476-2644
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-3098
NM
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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