Individual
DIANNE MARIE RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2325 CERRILLOS RD, SANTA FE, NM 87505-3373
(505) 438-0010
(505) 438-6011
Mailing address
2325 CERRILLOS RD, SANTA FE, NM 87505-3373
(505) 438-0010
(505) 438-6011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-08873
NM
Other
Enumeration date
08/12/2016
Last updated
09/29/2016
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