Individual
MARSHA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW/MSW
Contact information
Practice address
1509 PASEO DEL PUEBLO SUR, TAOS, NM 87571-5922
(575) 758-7263
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-05647
NM
1041C0700X
Clinical Social Worker
I-05647
NM
Other
Enumeration date
06/20/2014
Last updated
06/30/2015
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