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Individual

TIFFANIE AVILUCEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
520 N CHURCH ST, LAS CRUCES, NM 88001
(575) 526-9878
Mailing address
530 N CHURCH ST, LAS CRUCES, NM 88001-3440
(575) 526-9878

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-10995
NM

Other

Enumeration date
11/17/2014
Last updated
11/17/2025
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