Individual
TERI ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2410 S ESPINA ST, LAS CRUCES, NM 88001-5612
(915) 588-7290
(575) 613-7243
Mailing address
135 WHITTINGTON PL, ANTHONY, NM 88021-9270
(915) 588-7290
(575) 613-7243
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-05502
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58446368
—
NM
Enumeration date
03/26/2010
Last updated
11/26/2016
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