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Individual

SUZAN KAY HAAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
505 S MAIN ST, SUITE 249, LAS CRUCES, NM 88001-1206
(505) 527-5823
(505) 527-5886
Mailing address
505 S MAIN ST, SUITE 249, LAS CRUCES, NM 88001-1206
(505) 527-5823
(505) 527-5886

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0106771
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
87175835
NM
Enumeration date
11/02/2007
Last updated
11/02/2007
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