Individual
ILEANA GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-S
Contact information
Practice address
301 BULLDOG BLVD, ARTESIA, NM 88210-1731
(575) 808-9520
Mailing address
47 DIANE ST, ARTESIA, NM 88210-9229
(575) 808-9520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-11745
NM
1041S0200X
School Social Worker
X-09269
NM
Other
Enumeration date
09/04/2015
Last updated
11/30/2023
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