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Individual

MS. SANDRA CLASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADAC

Contact information

Practice address
1309 E GRIGGS AVE, LAS CRUCES, NM 88001-2905
(575) 650-2216
(866) 290-9605
Mailing address
1309 E GRIGGS AVE, LAS CRUCES, NM 88001-2905
(575) 650-2216
(866) 290-9605

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0110981
NM

Other

Enumeration date
06/04/2008
Last updated
06/04/2008
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