Organization
ELISE HENSLEY, LISW, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELISE HENSLEY LISW (PRESIDENT)
(505) 270-8778
Entity
Organization
Contact information
Practice address
02 HORMIGA CT., LOS LUNAS, NM 87031-3319
(505) 270-8778
Mailing address
02 HORMIGA CT., P. O. BOX 3319, LOS LUNAS, NM 87031-3319
(505) 270-8778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-04788
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81202229
—
NM
Enumeration date
05/19/2014
Last updated
05/22/2014
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