Individual
MS. SHERRY LYNN HATALSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
417 VALVERDE COMMONS DR, TAOS, NM 87571-4475
(505) 585-1355
Mailing address
417 VALVERDE COMMONS DR, TAOS, NM 87571-4475
(505) 585-1355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09194
NM
1041C0700X
Clinical Social Worker
LCS 19238
CA
Other
Enumeration date
12/12/2006
Last updated
07/21/2022
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