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Individual

KELSI MEREDITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1553 AVENIDA DE QUINTAS, LAS CRUCES, NM 88005-3506
(480) 209-9698
Mailing address
1553 AVENIDA DE QUINTAS, LAS CRUCES, NM 88005-3506
(480) 209-9698

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
M-09128
NM
1041C0700X
Clinical Social Worker
Primary
C-11611
NM

Other

Enumeration date
06/15/2015
Last updated
05/09/2022
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