MEDICARE: MARIA CRISTINA PARRA-ZARA LMSW

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
1	104100000X	Social Worker	M-3320	NM

General Provider Information

NPI Number	:	1629498530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA CRISTINA PARRA-ZARA LMSW

Provider Business Mailing Address
First Line	:	1007 RHAPSODY LN
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88007-8047
Country	:	US
Telephone Number	:	575-528-5067
Fax Number	:	575-528-6032

Provider Business Practice Location Address
First Line	:	1007 RHAPSODY LN
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88007-8047
Country	:	US
Telephone Number	:	575-528-5067
Fax Number	:	575-528-6032

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2014
Last Update Date	:	04/17/2014

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