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Individual

SANDRA MARIE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2541 PRADO DEL SOL AVE, LAS CRUCES, NM 88011-4330
(915) 525-6483
Mailing address
2541 PRADO DEL SOL AVE, LAS CRUCES, NM 88011-4330
(915) 525-6483

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-09388
NM

Other

Enumeration date
02/04/2016
Last updated
02/04/2016
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