Individual
MARY L FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2801 MISSOURI AVE STE 8, LAS CRUCES, NM 88011-5061
(575) 242-1100
(575) 993-5014
Mailing address
3001 E SPRINGS RD, LAS CRUCES, NM 88011-5295
(575) 242-1100
(575) 993-5014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10549
NM
Other
Enumeration date
10/04/2016
Last updated
10/14/2023
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