Individual
MARY BETH KLASTORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
8400 BARSTOW ST NE, DESERT RIDGE ES, ALBUQUERQUE, NM 87122-2832
(505) 857-9282
Mailing address
8400 BARSTOW ST NE, DESERT RIDGE ES, ALBUQUERQUE, NM 87122-2832
(505) 857-9282
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I 3104
NM
1041S0200X
School Social Worker
Primary
I 3104
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J 9901
—
NM
Enumeration date
03/02/2007
Last updated
09/11/2025
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