Individual
MISS KIRSTEN LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-5006
Mailing address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-5006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
M-11823
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/02/2016
Last updated
08/09/2021
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