WHITNEY LAKE

TAOS, NM
NPI1659064160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  C-11813)
Enumeration Date2023-05-31
Last Update Date2023-05-31
Business Address
WHITNEY LAKE LCSW
208 PASEO DEL PUEBLO SUR UNIT 103
TAOS, NM 87571-5931
Phone number: 575-770-7836
Mailing Address
WHITNEY LAKE LCSW
PO BOX 164
ARROYO SECO, NM 87514-0164
Phone number: 575-770-7836
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