Individual
XENA IMARI CRESPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2528 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4971
(505) 425-2622
Mailing address
2528 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4971
(505) 425-2622
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-11822
NM
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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