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Organization

WENDY K. BUCHANAN, LMT, LISW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. WENDY K. BUCHANAN LISW (PSYCHOTHERAPIST)
(505) 860-6766
Entity
Organization

Contact information

Practice address
3300 N BUTLER AVE, FARMINGTON, NM 87401-5621
(505) 860-6766
(505) 324-0895
Mailing address
3503 N BUENA VISTA AVE, FARMINGTON, NM 87401-2311
(505) 860-6766

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06386
NM

Other

Enumeration date
11/02/2010
Last updated
11/02/2010
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