Individual
MR. CARLOS DAVID MIERA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LISC INDEPENDENT SOC
Contact information
Practice address
413 SIPAPU RD, TAOS, NM 87571
(505) 758-5857
(505) 758-2832
Mailing address
PO BOX 714, ARROYO SECO, NM 87514
(505) 776-8915
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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