Individual
ALYSON DEAKYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
903 5TH ST # C, ESTANCIA, NM 87016-1155
(505) 384-2777
Mailing address
6 OLIVER CT, EDGEWOOD, NM 87015-6833
(505) 235-1895
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-11206
NM
Other
Enumeration date
04/27/2020
Last updated
06/08/2023
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