MARISA C DE BACA

TAOS, NM
NPI1356020291
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  SWB-2026-0383)
Enumeration Date2023-07-17
Last Update Date2026-06-08
Business Address
MARISA C DE BACA LCSW
105 BERTHA RD
TAOS, NM 87571-7148
Phone number: 575-758-4297
Mailing Address
MARISA C DE BACA LCSW
4 SAN FRANCISCO ST UNIT 377
RANCHOS DE TAOS, NM 87557-4016
Phone number: 575-224-2085
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