Individual
LISA WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
900 MARSHALL ST, TRUTH OR CONSEQUENCES, NM 87901-6600
(575) 740-5096
Mailing address
900 MARSHALL ST, TRUTH OR CONSEQUENCES, NM 87901-6600
(575) 740-5096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2025-1008
NM
Other
Enumeration date
02/19/2019
Last updated
11/06/2025
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