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1477009314
LEASA MEDINA
SANTA FE, NM
NPI
1477009314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM C-10726)
Enumeration Date
2016-08-31
Last Update Date
2020-07-22
Business Address
LEASA MEDINA LCSW
2504 CAMINO ENTRADA
SANTA FE, NM 87507-4851
Phone number: 505-471-5006
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Mailing Address
LEASA MEDINA LCSW
2504 CAMINO ENTRADA
SANTA FE, NM 87507-4851
Phone number:
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