Individual
MS. ELISABETH E MASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2005 ZOZOBRA LN, SANTA FE, NM 87505-6100
(505) 577-5758
Mailing address
PO BOX 6338, SANTA FE, NM 87502-6338
(505) 438-2612
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I05491
NM
Other
Enumeration date
07/12/2006
Last updated
07/21/2020
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