Individual
MRS. SANDRA BERENICE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
72 GAIL HARRIS ST, ROSWELL, NM 88203-8116
(575) 347-3400
(575) 347-3435
Mailing address
72 GAIL HARRIS ST, ROSWELL, NM 88203-8116
(575) 347-3400
(575) 347-3435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
B-09441
NM
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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