Individual
MRS. LESLEY DALE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2050 A 2ND STREET, KIRTLAND AFB, NM 87117
(505) 846-0139
(505) 846-6250
Mailing address
2050A 2ND ST SE, ALBUQUERQUE, NM 87117-5522
(505) 846-0139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06827
NM
1041C0700X
Clinical Social Worker
M-4311
NM
Other
Enumeration date
08/19/2006
Last updated
09/04/2013
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