Individual
MARIANNE CROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
905 W APACHE ST, FARMINGTON, NM 87401-3899
(505) 326-7878
(505) 326-7879
Mailing address
905 W APACHE ST, FARMINGTON, NM 87401-3899
(505) 326-7878
(505) 326-7879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0151661
NM
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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