Individual
ELISA MARLENE MONTROSE-ROBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7013 4TH ST NW, LOS RANCHOS, NM 87107-6639
(505) 503-6838
Mailing address
7013 4TH ST NW, LOS RANCHOS, NM 87107-6639
(505) 503-6838
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0090041
NM
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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