Individual
KATRINA ANNE ENGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCW
Contact information
Practice address
1909 CUBA AVE STE 5, ALAMOGORDO, NM 88310-5646
(575) 489-4916
Mailing address
1601 2ND AVE N STE 200D, GREAT FALLS, MT 59401-3243
(575) 430-4919
(855) 679-5989
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10569
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10154337
—
NM
05
—
99502542
—
NM
Enumeration date
06/19/2015
Last updated
07/19/2022
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