Individual
BEVERLY MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
714 CALLE DON DIEGO, ESPANOLA, NM 87532-3414
(505) 753-2274
Mailing address
714 CALLE DON DIEGO, ESPANOLA, NM 87532
(505) 753-2254
(505) 753-6484
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-08467
NM
Other
Enumeration date
08/06/2012
Last updated
01/21/2014
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