Individual
MIRACLE ANN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1200 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 835-2444
Mailing address
1200 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 835-2444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2023-1131
NM
Other
Enumeration date
12/30/2019
Last updated
09/23/2024
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