Individual
MS. PATRICIA E. WAHE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
100 W. GRIGGS, LAS CRUCES, NM 88001
(575) 647-2896
(575) 647-2898
Mailing address
1320 S. SOLANO, LAS CRUCES, NM 88005
(575) 527-7900
(575) 571-4872
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M2507
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
05
—
47043
—
NM
05
—
48820709
—
NM
01
—
85-0204142
MEDICARE
NM
Enumeration date
06/09/2008
Last updated
08/28/2018
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