Individual
LIEN SARDINAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 PASEO DEL CANON E, TAOS, NM 87571-6738
(575) 751-7222
Mailing address
PO BOX 3009, RANCHOS DE TAOS, NM 87557-3009
(610) 888-2893
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
M-11486
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2024-0074
NM
Other
Enumeration date
02/25/2021
Last updated
01/22/2025
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