Individual
MS. JANINE MIRA CARASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1337 GUSDORF ROAD, SUITES E & F, TAOS, NM 87571
(575) 758-4297
(575) 751-7237
Mailing address
408 KIT CARSON ROAD, UNIT #5, TAOS, NM 87571
(575) 779-7805
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M06581
NM
Other
Enumeration date
03/03/2008
Last updated
09/27/2012
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