Individual
MRS. BREENA S TAFOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
715 E IDAHO AVE STE 2E, LAS CRUCES, NM 88001-4701
(575) 556-9585
(575) 556-9456
Mailing address
PO BOX 727, MESILLA PARK, NM 88047-0727
(575) 642-8046
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33376824
—
NM
Enumeration date
02/03/2007
Last updated
08/12/2013
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