Provider Demographics
NPI:1912199845
Name:CURRY, MARY (LISW)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:CURRY
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 CALLE FLORINDA
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-5141
Mailing Address - Country:US
Mailing Address - Phone:505-982-8870
Mailing Address - Fax:505-982-0620
Practice Address - Street 1:1441 S SAINT FRANCIS DR
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4037
Practice Address - Country:US
Practice Address - Phone:505-982-2177
Practice Address - Fax:505-982-0620
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-42791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical