Individual
MARIAH ELIZABETH ESPESET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 470-6621
Mailing address
2067 CAMINO LADO, SANTA FE, NM 87505-5487
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
X-10065
NM
1041C0700X
Clinical Social Worker
Primary
C-11137
NM
1041C0700X
Clinical Social Worker
X-11218
NM
Other
Enumeration date
08/02/2017
Last updated
02/07/2023
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