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Individual

ELIZABETH NA PROTHRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LPCC

Contact information

Practice address
36 CAMINO LOMA SECO, LAMY, NM 87540-9621
(505) 466-2163
(505) 466-2185
Mailing address
36 CAMINO LOMA SECO, LAMY, NM 87540-9621
(505) 466-2163
(505) 466-2185

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4258
NM

Other

Enumeration date
09/04/2006
Last updated
07/08/2007
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