Individual
DEVONICA CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1609 W LEA ST, CARLSBAD, NM 88220-3752
(575) 706-7990
Mailing address
1609 W LEA ST, CARLSBAD, NM 88220-3752
(575) 706-7990
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-11822
NM
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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