Individual
MARCO A. CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
125 CHAPARREL BLVD NW, DEMING, NM 88030-8629
(575) 546-4800
(575) 546-5048
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-08385
NM
1041C0700X
Clinical Social Worker
Primary
C-09210
NM
Other
Enumeration date
06/06/2013
Last updated
10/17/2025
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