Individual
KAREN GANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7033 VUELTA VISTOSO, SANTA FE, NM 87507-4605
(303) 963-6674
Mailing address
7033 VUELTA VISTOSO, SANTA FE, NM 87507-4605
(303) 963-6674
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904010653
VA
1041C0700X
Clinical Social Worker
Primary
C-09421
NM
1041C0700X
Clinical Social Worker
CSW.09924060
CO
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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