Individual
SUSAN K. SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
54 CUT TREE LANE, BELEN, NM 87002
(505) 238-2997
(505) 544-4631
Mailing address
54 CUT TREE LANE, BELEN, NM 87002
(505) 238-2997
(505) 544-4631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0938
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30435030
—
NM
05
—
3803775
—
NM
01
—
I-0938
LICENSE NUMBER
NM
Enumeration date
01/23/2008
Last updated
09/03/2020
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