Individual
MS. CAROL ANN HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2025 E AZTEC AVE, GALLUP, NM 87301-4803
(505) 863-3828
(505) 443-8345
Mailing address
2025 E AZTEC AVE, GALLUP, NM 87301-4803
(505) 863-3828
(505) 443-8345
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-08084
NM
Other
Enumeration date
12/06/2012
Last updated
01/13/2026
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