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Individual

MRS. DIANE MARIE BYRD LACEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
7027 MONTGOMERY BLVD NE, SUITE F, ALBUQUERQUE, NM 87109-1589
(505) 880-0100
(505) 880-0102
Mailing address
7027 MONTGOMERY BLVD NE STE F, ALBUQUERQUE, NM 87109-1529
(505) 880-0100
(505) 880-0102

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0099441
NM

Other

Enumeration date
01/07/2008
Last updated
03/18/2012
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