Doctor Name: | MRS. KAREN DIANE WEBER |
NPI Number: | 1215058896 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 300963 |
Business Practice Address: | 180 N Date St Truth Or Consequences, NM - 879012824 |
Business Phone Number: | 5058948383 |
Business Fax Number: | 5058940606 |
Mailing Address: | Po Box 7, CABALLO |
State: | NM |
Postal Code: | 879310007 |
Phone Number: | 5057433575 |
Fax Number: | 5057433579 |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 300963 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |