Individual
MR. PETE M CANDELARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
343 MAIN ST NW, LOS LUNAS, NM 87031-8712
(505) 865-4646
Mailing address
343 MAIN ST NW, LOS LUNAS, NM 87031-8712
(505) 331-1102
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
286941
NM
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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