Individual
MICHAELA GRANITO-TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1300 CAMINO SIERRA VIS, SANTA FE, NM 87505-1007
(505) 466-4944
(505) 467-2648
Mailing address
7 ESQUINA RD, SANTA FE, NM 87508-9172
(505) 466-4944
(505) 467-2648
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-05778
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E7606
—
NM
Enumeration date
08/17/2010
Last updated
08/17/2010
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