Individual
MIRIAM ZAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 642-3448
Mailing address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 652-3448
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SWB-2022-0859
LCSW LICENSE
NM
Enumeration date
10/11/2022
Last updated
05/22/2024
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