Individual
KATHARINE MAY ELVERUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCSW
Contact information
Practice address
808 FIR ST, T OR C, NM 87901-1724
(575) 740-9648
(575) 894-3106
Mailing address
808 FIR ST, T OR C, NM 87901-1724
(575) 740-9648
(575) 894-3106
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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