Individual
MARCIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 N SILVER ST, SILVER CITY, NM 88061-7299
(575) 388-9374
(575) 388-4847
Mailing address
2610 N SILVER ST, SILVER CITY, NM 88061-7299
(575) 388-9374
(575) 388-4847
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
B-4011
NM
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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