Individual
CAROLYN COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 847-5844
Mailing address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 847-5844
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NM
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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