Individual
MS. LYNDIA A RADICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
117 PIERSON ROAD, MAGDALENA, NM 87825-1019
(505) 854-3186
Mailing address
PO BOX 1019, MAGDALENA, NM 87825
(505) 854-3186
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
X05662
NM
1041C0700X
Clinical Social Worker
Primary
I-06410
NM
Other
Enumeration date
01/09/2007
Last updated
01/14/2008
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