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Individual

MS. NATASHA LEE MCCANTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2573 STATE HIGHWAY 522, QUESTA, NM 87556-0290
(575) 586-0331
Mailing address
2573 STATE HIGHWAY 522, QUESTA, NM 87556-0290
(505) 586-0331
(575) 586-0519

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
M-09115
NM
1041C0700X
Clinical Social Worker
Primary
C-10704
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74688561
NM
Enumeration date
02/16/2012
Last updated
06/30/2023
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