Individual
JOSEPHINE CARDINAL PETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 CERRILLOS RD, SANTA FE, NM 87505-3377
(505) 395-2543
Mailing address
2325 CERRILLOS RD, SANTA FE, NM 87505-3377
(505) 395-2543
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2024-0724
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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