Individual
CHARLOTTE POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1205 N WEST ST, SILVER CITY, NM 88061-4635
(575) 654-2919
Mailing address
1205 N WEST ST, SILVER CITY, NM 88061-4635
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2022-0909
NM
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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