Individual
SUEANN GAYLE KENNEY-NOZISKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
350 EL MOLINO BLVD, LAS CRUCES, NM 88005-2915
(575) 524-9157
(575) 524-5968
Mailing address
350 EL MOLINO BLVD, LAS CRUCES, NM 88005-2915
(575) 524-9157
(575) 524-5968
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06636
NM
1041C0700X
Clinical Social Worker
LCS 20339
CA
Other
Enumeration date
08/31/2006
Last updated
12/21/2007
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