Organization
SALLY JO WARNICK, LISW PSYCHOTHERAPY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SALLY JO WARNICK LISW (THERAPIST)
(575) 776-7432
Entity
Organization
Contact information
Practice address
25 NICKELL RD, RANCHOS DE TAOS, NM 87557-9709
(575) 776-7432
Mailing address
PO BOX 2629, TAOS, NM 87571-2629
(575) 776-7432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-4486
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59635533
—
NM
Enumeration date
07/01/2015
Last updated
05/05/2025
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