Individual
TAWNA MARIE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1700 CERRILLOS RD, SANTA FE, NM 87505-3026
(505) 988-9265
Mailing address
1700 CERRILLOS RD, SANTA FE, NM 87505-3026
(505) 988-9265
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-11429
NM
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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