Individual
CELEDINA COSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
806 S RIVERSIDE DR, ESPANOLA, NM 87532-3397
(505) 913-0033
Mailing address
806 S RIVERSIDE DR, ESPANOLA, NM 87532-3397
(505) 913-0033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09840
NM
1041S0200X
School Social Worker
363525
NM
Other
Enumeration date
06/02/2016
Last updated
08/06/2020
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