Individual
TALITHA ROSALYN DROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
100 W GRIGGS AVE, LAS CRUCES, NM 88001
(575) 647-2800
(575) 647-2800
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-10302
NM
104100000X
Social Worker
X-10246
NM
1041C0700X
Clinical Social Worker
66060
TX
1041C0700X
Clinical Social Worker
Primary
SWB20231270
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96387564
—
NM
Enumeration date
08/03/2017
Last updated
12/08/2023
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