Individual
MS. JANELLE M. CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1337 GUSDORF ROAD, SUITE E, TAOS, NM 87571
(575) 758-4297
(575) 751-7237
Mailing address
400 WEIMER ROAD #22, TAOS, NM 87571
(575) 779-2031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-08499
NM
Other
Enumeration date
08/09/2013
Last updated
09/10/2015
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