Individual
SAMARA DELEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
700 W APACHE ST, FARMINGTON, NM 87401-5526
(505) 599-8602
Mailing address
712 TAMARACK ST, FARMINGTON, NM 87401-6769
(505) 402-5797
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-11100
NM
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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