Individual
BRANDI L COSTALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMSW
Contact information
Practice address
2810 N SWAN ST, SILVER CITY, NM 88061-5853
(575) 956-2000
Mailing address
310 W MARKET ST, SILVER CITY, NM 88061-4956
(575) 590-2010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-12070
NM
1041S0200X
School Social Worker
Primary
X-12070
NM
Other
Enumeration date
08/18/2021
Last updated
03/04/2026
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