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Organization
KATE WORMAN LLC
Active
Organization
KATE WORMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE WORMAN LPCC (OWNER)
(575) 770-8614
Entity
Organization
Contact information
Practice address
412 SIPAPU ST, TAOS, NM 87571-6498
(575) 770-8614
Mailing address
306 GUYORA LN, TAOS, NM 87571-6550
(575) 770-8614
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/28/2022
Last updated
07/25/2022
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