Individual
LORRAINE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1001 W. BROADWAY, D & E, FARMINGTON, NM 87401
(505) 327-4796
Mailing address
5501 WILSHIRE AVE NE STE C, ALBUQUERQUE, NM 87113-2569
(505) 702-1568
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
C-11538
NM
Other
Enumeration date
06/07/2016
Last updated
10/12/2023
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