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1356020291
MARISA C DE BACA
RIO RANCHO, NM
NPI
1356020291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NM SWB-2023-0633)
Enumeration Date
2023-07-17
Last Update Date
2023-07-17
Business Address
MARISA C DE BACA LMSW
4210 MEADOWLARK LN SE
RIO RANCHO, NM 87124-1021
Phone number: 505-927-1024
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Mailing Address
MARISA C DE BACA LMSW
4210 MEADOWLARK LN SE
RIO RANCHO, NM 87124-1021
Phone number: 505-927-1024
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