Individual
MS. ARIANE HEILA MAHMUD-GHAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LMT, SEP
Contact information
Practice address
1422 4TH ST STE C, SANTA FE, NM 87505
(505) 570-1607
Mailing address
1604 YOUNG ST, SANTA FE, NM 87505-3504
(505) 570-1607
(505) 995-0021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-07805
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27984567
—
NM
Enumeration date
07/20/2006
Last updated
08/17/2018
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