Individual
LACIE D PEREGRINE-BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 CARDENAS DR NE, ALBUQUERQUE, NM 87108-1720
(505) 266-8168
Mailing address
4724 GUADALUPE PEAK ST SW, LOS LUNAS, NM 87031-9088
(816) 500-4814
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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