Organization
LIVE WELL INDIVIDUAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA S ROMERO LCSW (OWNER)
(575) 741-1492
Entity
Organization
Contact information
Practice address
537 HONDO SECO RD, ARROYO SECO, NM 87514
(575) 741-1492
Mailing address
PO BOX 706, ARROYO SECO, NM 87514-0706
(575) 741-1492
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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