Individual
CAITLIN EILEEN TALTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
330 N ARMIJO ST, LAS CRUCES, NM 88005-2535
(575) 342-2923
Mailing address
330 N ARMIJO ST, LAS CRUCES, NM 88005-2535
(575) 342-2923
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2022-0510
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52400263
—
NM
Enumeration date
01/08/2019
Last updated
10/31/2022
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