Individual
DEBORRA BERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3 CASA DEL ORO LN, SANTA FE, NM 87508-8238
(505) 670-4215
Mailing address
3 CASA DEL ORO LN, SANTA FE, NM 87508-8238
(505) 670-4215
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-06921
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
856000565
NEW MEXICO DEPARTMENT OF HEALTH
NM
Enumeration date
04/29/2014
Last updated
07/31/2023
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