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Individual

MS. LINDA CARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
240 ROY RD, TAOS, NM 87571-6641
(575) 770-1187
Mailing address
PO BOX 3144, RANCHOS DE TAOS, NM 87557-3144
(575) 770-1187

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CERTIFICATION
NM
174400000X
Specialist
Primary
5626
NM

Other

Enumeration date
12/13/2012
Last updated
12/13/2012
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