Individual
MRS. ALICIA RENEE HAYBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW, IMH-III
Contact information
Practice address
3050 N ROADRUNNER PKWY, STE A,, LAS CRUCES, NM 88011-0833
(575) 523-2288
Mailing address
P.O. BOX 1090, LAS CRUCES, NM 88004
(575) 523-2288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06861
NM
Other
Enumeration date
02/15/2012
Last updated
02/16/2012
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