Individual
MRS. DIANARA ATILANA HOLGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5133 DESERT PARK AVE, LAS CRUCES, NM 88011-6624
(575) 405-3043
Mailing address
9635 PAETZ LN, LAS CRUCES, NM 88011-6672
(575) 405-3043
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SWB-2024-0237
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2024-0237
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
NM
05
—
99076268
—
NM
Enumeration date
09/22/2010
Last updated
08/12/2024
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