Individual
MONICA FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
109 E BLAND ST, ROSWELL, NM 88203-6123
(505) 623-1480
(505) 622-3325
Mailing address
PO BOX 1978, ROSWELL, NM 88202-1978
(505) 623-1480
(505) 622-3325
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-04942
NM
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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