RUTH LARA WAGNER

LAS CRUCES, NM
NPI1699417030
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  CTB-2023-0321)
Additional Taxonomies251S00000X 
Enumeration Date2022-04-07
Last Update Date2024-07-20
Business Address
RUTH LARA WAGNER
350 EL MOLINO BLVD
LAS CRUCES, NM 88005-2915
Phone number: 575-323-8900
Mailing Address
RUTH LARA WAGNER
350 EL MOLINO BLVD
LAS CRUCES, NM 88005-2915
Phone number: 575-323-8900
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