Individual
MS. MARIZZA D MONTOYA-GANSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
223 N GUADALUPE ST, #410, SANTA FE, NM 87501-1850
(505) 438-9119
Mailing address
151 CAMINO LOS ABUELOS, SANTA FE, NM 87508-8092
(505) 438-9119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-1700
NM
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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