Individual
BERNADETTE D MARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 216-2727
Mailing address
PO BOX 4213, SANTA FE, NM 87502-4213
(505) 231-8599
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-11020
NM
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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