Individual
MS. JOAN NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
111 N RAILROAD AVE, ESPANOLA, NM 87532-2627
(505) 753-7395
(505) 753-5815
Mailing address
111 N RAILROAD AVE, P.O. BOX 158, ESPANOLA, NM 87532-2627
(505) 753-7395
(505) 753-5815
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I05930
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93736550
—
NM
Enumeration date
09/15/2006
Last updated
07/09/2007
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