Individual
SUSANNAH GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1106 CAMINO CONSUELO, SANTA FE, NM 87507-5099
(505) 630-9285
Mailing address
2255 PASEO DE LOS CHAMISOS APT A, SANTA FE, NM 87505-5558
(505) 603-9285
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-08880
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E7436
—
NM
Enumeration date
06/20/2013
Last updated
11/19/2014
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