Individual
MS. JOAN MACCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
125 LA POSTA RD STE 6, TAOS, NM 87571-7242
(575) 770-3126
(888) 827-0978
Mailing address
PO BOX 325, ARROYO SECO, NM 87514-0325
(575) 770-3126
(888) 827-0978
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M -05383
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91385547
—
NM
Enumeration date
02/01/2007
Last updated
09/20/2023
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