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Individual

MARI LYNN SCARLETT GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1096 MECHEM DR STE 213, RUIDOSO, NM 88345-7068
(575) 223-8184
Mailing address
1096 MECHEM DR STE 213, RUIDOSO, NM 88345-7068
(752) 233-8184

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10849
NM
1041C0700X
Clinical Social Worker
M-09838
NM
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95636757
NM
Enumeration date
05/21/2014
Last updated
07/20/2021
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