Individual
MS. CAROLE A. ERIACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
RT 12 & 7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8526
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8526
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-07382
NM
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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