Individual
KARA J ANDRESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 MANZANO VIEJO, EL PRADO, NM 87529-5044
(575) 741-0472
Mailing address
4 MANZANO VIEJO, EL PRADO, NM 87529-5044
(575) 741-0472
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-07060
NM
Other
Enumeration date
10/12/2006
Last updated
07/28/2022
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