Organization
WHITE HORSE STUDIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA GALLEGOS (CREDENTIALLING)
(575) 202-0750
Entity
Organization
Contact information
Practice address
2410 S ESPINA ST, LAS CRUCES, NM 88001-5612
(915) 588-7290
(575) 613-7243
Mailing address
135 WHITTINGTON PL, ANTHONY, NM 88021-9270
(915) 588-7290
(575) 613-7243
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C-05502
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54886368
—
NM
Enumeration date
05/31/2018
Last updated
05/31/2018
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