Individual
BETH CATHERINE LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 S MAIN STE 430, CAMPBELL BEHAVIORAL SERVICE, LAS CRUCES, NM 88001
(505) 532-9050
(505) 522-3689
Mailing address
5217 COMANCHE TRL, LAS CRUCES, NM 88012-7362
(575) 439-7354
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M05029
NM
1041S0200X
School Social Worker
Primary
I06356
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81370261
—
NM
01
—
M05029
LMSW
—
Enumeration date
08/27/2006
Last updated
07/17/2018
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