Individual
MARA ELIZABETH ROEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 326-2731
Mailing address
5200 VILLA VIEW DR APT 6B, FARMINGTON, NM 87402-8253
(907) 350-3978
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NM
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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