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NPI Code Detail

MEDICARE: CHRISTINA ANN WOLFORD LCSW

MEDICARE:   CHRISTINA ANN WOLFORD  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC-10768NM

General Provider Information

NPI Number : 1023536521
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA ANN WOLFORD LCSW
Provider Business Mailing Address
First Line : PO BOX 325
Second Line :
City : SILVER CITY
State : NM
Zip : 88062-0325
Country : US
Telephone Number : 575-494-1128
Fax Number : 575-956-6947
Provider Business Practice Location Address
First Line : 610 N SILVER ST
Second Line :
City : SILVER CITY
State : NM
Zip : 88061-6779
Country : US
Telephone Number : 575-956-6131
Fax Number : 575-956-6947
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2017
Last Update Date : 11/22/2023

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Directions to “ CHRISTINA ANN WOLFORD LCSW” Practice Location

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