Individual
ELIZABETH H. BASAN-FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4833 SONORAN AVE APT SUITE, LAS CRUCES, NM 88012-0809
(772) 261-3466
Mailing address
4833 SONORAN AVE, LAS CRUCES, NM 88012-0809
(772) 261-3466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW22021
FL
1041C0700X
Clinical Social Worker
SWB20240001
NM
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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