ROSE MARY MEDINA-DOMINGUEZ

TAOS, NM
NPI1043518046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NM  C-08749)
Enumeration Date2011-03-01
Last Update Date2024-02-05
Business Address
MRS. ROSE MARY MEDINA-DOMINGUEZ LCSW
105 BERTHA RD STE B
TAOS, NM 87571-7148
Phone number: 575-758-4297
Mailing Address
MRS. ROSE MARY MEDINA-DOMINGUEZ LCSW
PO BOX 36
CHAMISAL, NM 87521-0036
Phone number: 505-659-8769