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Individual

MARTHA A. SALAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BMS

Contact information

Practice address
541 QUANTUM RD NE, RIO RANCHO, NM 87124-4502
(505) 994-9178
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220
(505) 471-5006
(505) 820-9220

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
104100000X
Social Worker
X-06667
NM

Other

Enumeration date
09/03/2009
Last updated
07/07/2010
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