Individual
LINDSAY NICOLE DWORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3 LATIR CT, SANTA FE, NM 87508-2192
(575) 693-6132
Mailing address
3 LATIR CT, SANTA FE, NM 87508-2192
(575) 693-6132
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CMF0167591
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58455779
—
NM
Enumeration date
08/26/2009
Last updated
10/18/2021
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