Provider Demographics
NPI:1093947731
Name:GARCIA-SANCHEZ, IRMA (MSW)
Entity Type:Individual
Prefix:
First Name:IRMA
Middle Name:
Last Name:GARCIA-SANCHEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 175
Mailing Address - Street 2:
Mailing Address - City:WATROUS
Mailing Address - State:NM
Mailing Address - Zip Code:87753-0175
Mailing Address - Country:US
Mailing Address - Phone:505-454-1870
Mailing Address - Fax:
Practice Address - Street 1:98 RAILROAD RD.
Practice Address - Street 2:
Practice Address - City:WATROUS
Practice Address - State:NM
Practice Address - Zip Code:87753
Practice Address - Country:US
Practice Address - Phone:505-454-1870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMX-06544101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional