Individual
KELLY A MCCARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, LADAC
Contact information
Practice address
230 ROTTEN TREE RD, 230 ROTTEN TREE RD, TAOS, NM 87574
(575) 758-7824
(575) 758-3346
Mailing address
PO BOX 1846, 230 ROTTEN TREE RD, TAOS, NM 87571-1846
(575) 758-7824
(575) 758-3346
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06784
NM
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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