Individual
MARCOS ELVIRES CASTELLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
320 OSUNA RD NE STE H4, ALBUQUERQUE, NM 87107-5955
(505) 345-2778
Mailing address
43 COUNTY ROAD 19, ESPANOLA, NM 87532-9457
(505) 929-4729
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2023-1264
NM
Other
Enumeration date
07/14/2020
Last updated
03/13/2024
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