Marisa C De Baca, LMSW

NPI #1356020291 in Rio Rancho, New Mexico

Provider Information

NPI Number: 1356020291
Entity Type: Individual
Name: Marisa C De Baca, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jul 17, 2023
Last Updated: Jul 17, 2023

Practice Location

Address: 4210 MEADOWLARK LN SE
City: Rio Rancho
State: New Mexico
ZIP Code: 87124-1021
Phone: (505) 927-1024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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