Individual
DR. SANDRA YEZENIA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD EDD LCSW
Contact information
Practice address
210 W LAS CRUCES AVE, LAS CRUCES, NM 88005-1804
(575) 222-2922
Mailing address
PO BOX 1254, HATCH, NM 87937-1254
(575) 222-2922
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW.09925377
CO
104100000X
Social Worker
X-06821
NM
1041C0700X
Clinical Social Worker
Primary
C-08241
NM
1041C0700X
Clinical Social Worker
CSW.09925377
CO
Other
Enumeration date
04/19/2010
Last updated
03/26/2026
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