Individual
MRS. KATJA MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1990 E LOHMAN AVE STE 225, LAS CRUCES, NM 88001-3172
(575) 571-2743
(575) 521-9215
Mailing address
2672 CABALLO CT, LAS CRUCES, NM 88011-9000
(575) 571-2743
(575) 521-9215
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-3644
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000S0568
—
NM
05
—
10075381
—
NM
Enumeration date
12/27/2006
Last updated
06/05/2017
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