Individual
TRINE MARIE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
530 N CHURCH ST, LAS CRUCES, NM 88001-3440
(575) 526-9878
(575) 526-7835
Mailing address
PO BOX 396, RADIUM SPRINGS, NM 88054-0396
(915) 249-9226
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2024-0512
NM
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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