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Organization

KINSHIP EQUINE THERAPY

Active
Other names
Kinship Equine Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
VANESSA D LUCERO LCSW (PRESIDENT)
(505) 617-0202
Entity
Organization

Contact information

Practice address
908 SANGRE DE CRISTO HWY, LAS VEGAS, NM 87701-7444
(505) 617-0202
Mailing address
PO BOX 428, LAS VEGAS, NM 87701-0428
(505) 617-0202

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578288833
NM
Enumeration date
07/16/2025
Last updated
07/22/2025
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