Individual
MS. LENA CORRINE GACHUPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
110 SHEEP SPRINGS WAY, JEMEZ PUEBLO, NM 87024
(575) 834-7258
(575) 834-9507
Mailing address
PO BOX 279, 110 SHEEP SPRINGS, JEMEZ PUEBLO, NM 87024-0279
(575) 834-7258
(575) 834-9507
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0591
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82674060
—
NM
Enumeration date
12/13/2006
Last updated
08/24/2016
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