Individual
TERESA LUCIA SAMANIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
575 S ALAMEDA BLVD, LAS CRUCES, NM 88005-2818
(575) 449-4000
(575) 449-4021
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-10950
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NONE
—
Enumeration date
08/18/2020
Last updated
02/08/2021
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