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Individual

MS. LINDA PATRICE IRENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1700 CERRILLOS RD, BEHAVIORAL HEALTH, SANTA FE, NM 87505-3554
(505) 946-9460
(505) 983-6243
Mailing address
1700 CERRILLOS RD, BEHAVIORAL HEALTH, SANTA FE, NM 87505-3554
(505) 946-9460
(505) 983-6243

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-04910
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11923032
NM
Enumeration date
12/12/2006
Last updated
11/06/2007
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