Individual
MISS TANDEKA HIYA GUILDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
914 N CANAL ST, CARLSBAD, NM 88220-5110
(575) 885-4836
(505) 443-8319
Mailing address
914 N CANAL ST, CARLSBAD, NM 88220-5110
(575) 885-4836
(505) 443-8319
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
116732
MA
1041C0700X
Clinical Social Worker
Primary
C-12179
NM
Other
Enumeration date
10/25/2012
Last updated
11/17/2023
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