MARIAN RUTH BLACK

RUIDOSO, NM
NPI1902051360
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  40529)
Enumeration Date2008-11-25
Last Update Date2008-11-25
Business Address
Mrs. MARIAN RUTH BLACK LCSW
507 MECHEM DR
RUIDOSO, NM 88345-6902
Phone number: 575-257-9217
Mailing Address
Mrs. MARIAN RUTH BLACK LCSW
223 RIO ST
RUIDOSO, NM 88345-7401
Phone number: 575-937-2611