Individual
MADELINE LAIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
128 WYATT DR, LAS CRUCES, NM 88005-2925
(575) 882-5100
(575) 882-1151
Mailing address
PO BOX 2671, ANTHONY, NM 88021-2671
(575) 882-5100
(575) 882-1151
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2023-0260
NM
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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