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Individual

MR. TERRY SCOTT SINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
4730 BECKNER ROAD, SANTA FE, NM 87507
(505) 989-4500
(505) 443-8360
Mailing address
4730 BECKNER ROAD, SANTA FE, NM 87507
(505) 989-4500
(505) 443-8360

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-05692
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78558
NM
Enumeration date
01/07/2008
Last updated
08/22/2023
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