Individual
ALICIA IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
755 S TELSHOR BLVD, SUITE D-109, LAS CRUCES, NM 88011-4688
(575) 647-1604
Mailing address
755 S TELSHOR BLVD, SUITE D-109, LAS CRUCES, NM 88011-4688
(575) 647-1604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M07255
NM
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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