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Individual

ELIZA SKYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1524 BISHOPS LODGE ROAD, SANTA FE, NM 87506
(505) 983-6158
Mailing address
PO BOX 449, TESUQUE, NM 87574-0449
(505) 983-6158

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2023-0228
NM
172V00000X
Community Health Worker
NM

Other

Enumeration date
04/10/2020
Last updated
03/28/2023
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