Individual
RHIANNON LOZUAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2055 S PACHECO ST STE 500, SANTA FE, NM 87505-3994
(505) 702-8112
Mailing address
2055 S PACHECO ST STE 500, SANTA FE, NM 87505-3994
(505) 702-8112
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NH
1041C0700X
Clinical Social Worker
Primary
SWB-2024-0510
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28189060
—
NM
05
—
3078870
—
NH
Enumeration date
08/23/2018
Last updated
06/05/2024
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