Individual
LISA PENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.S.W.
Contact information
Practice address
1444 S SAINT FRANCIS DR # C, SANTA FE, NM 87505-4038
(505) 982-8228
Mailing address
PO BOX 22960, SANTA FE, NM 87502-2960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-2538
NM
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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