Individual
LELAND GUTHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1421 LUISA ST STE O, SANTA FE, NM 87505-4073
(505) 927-9169
Mailing address
12B ECKARDS WAY, ESPANOLA, NM 87532-9878
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1711
NM
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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