Most Relevant Information
Provider Data
| NPI Number: | 1003576489 |
| Provider Name: | MARISSA TERESA DEARY CASE MANAGER |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/27/2021 |
| Last Updated: | 12/27/2021 |
Provider Practice Location
760 N MOTEL BLVD
LAS CRUCES
NM
880074169
Practice Location Phone/Fax
| Phone: | 5755277975 |
| Fax: | 5756742861 |
Provider Mailing Location
385 CALLE DE ALEGRA STE A
LAS CRUCES
NM
880053423
Provider Mailing Phone/Fax
| Phone: | 5755261105 |
| Fax: | 5755244266 |