Individual
MS. MARY MARGARET CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
1335 GUSDORF RD STE E, TAOS, NM 87571-5227
(575) 737-9042
(575) 751-3557
Mailing address
1335 GUSDORF RD STE E, TAOS, NM 87571-5227
(575) 737-9042
(575) 751-3557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0095301
NM
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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