Most Relevant Information
Provider Data
| NPI Number: | 1003025198 |
| Provider Name: | TRACEY E GARCIA L.M.S.W. |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | M-05191 |
Most Important Dates
| Enumeration Date: | 05/22/2007 |
| Last Updated: | 05/13/2015 |
Provider Practice Location
2010 INDUSTRIAL PARK RD
ESPANOLA
NM
875323600
Practice Location Phone/Fax
| Phone: | 5057537395 |
| Fax: | 5057538373 |
Provider Mailing Location
PO BOX 158
EL CENTRO FAMILY HEALTH
ESPANOLA
NM
875320158
Provider Mailing Phone/Fax
| Phone: | 5057537218 |
| Fax: | 5057535815 |