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Individual

DESIREE M NITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPSW

Contact information

Practice address
807 CALLE CHAMISAL, ESPANOLA, NM 87532-2976
(505) 901-4073
Mailing address
807 CALLE CHAMISAL, ESPANOLA, NM 87532-2976

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
03/02/2022
Last updated
03/02/2022
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