Individual
MARY KATHLEEN SLATTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3949 CORRALES RD, STE 180, CORRALES, NM 87048-9349
(505) 440-2581
Mailing address
3949 CORRALES RD, STE 180, CORRALES, NM 87048-9349
(505) 440-2581
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I04678
NM
Other
Enumeration date
08/10/2006
Last updated
09/24/2018
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