Individual
NANCY BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 CAMINO SIERRA VIS, SANTA FE, NM 87505-1007
(505) 467-2503
Mailing address
HC 64 BOX 17, SANTA CRUZ, NM 87567-9704
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
362323
NM
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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