Individual
NIAONNA WATERS WOLFSPIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1441 S. SOUTH ST. FRANCIS DR., SANTA FE, NM 87505
(505) 982-2271
(505) 982-0620
Mailing address
1410 W 6TH ST APT 11, SILVER CITY, NM 88061-3760
(505) 982-8870
(505) 982-0620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I-05602
NM
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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