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Individual

MERYL LYNN WOLPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LISW

Contact information

Practice address
1408 SANTA ROSA DR, SANTA FE, NM 87505-3489
(505) 795-8808
Mailing address
1408 SANTA ROSA DR, SANTA FE, NM 87505-3489
(505) 795-8808

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-07603
NM
251S00000X
Community/Behavioral Health Agency
06944
NM

Other

Enumeration date
10/18/2010
Last updated
04/26/2021
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