Individual
KITTY B O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 W. GRIGGS, LAS CRUCES, NM 88001
(575) 647-2800
(575) 647-2898
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-06144
NM
1041C0700X
Clinical Social Worker
Primary
C-10371
NM
1041C0700X
Clinical Social Worker
X-10385
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62834363
—
NM
Enumeration date
09/17/2014
Last updated
08/27/2018
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