Individual
MARINA TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
715 E IDAHO AVE STE 2E, LAS CRUCES, NM 88001-4701
(575) 556-9585
(575) 556-9456
Mailing address
715 E IDAHO AVE STE 2E, LAS CRUCES, NM 88001-4701
(575) 556-9585
(575) 556-9456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-07924
NM
Other
Enumeration date
04/29/2012
Last updated
04/29/2012
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