KRYSTAL MARYLOU CDEBACA

LAS VEGAS, NM
NPI1811501323
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NM  M-11253)
Enumeration Date2020-09-02
Last Update Date2020-09-02
Business Address
KRYSTAL MARYLOU CDEBACA LMSW
2528 RIDGE RUNNER RD
LAS VEGAS, NM 87701-4971
Phone number: 505-425-2622
Mailing Address
KRYSTAL MARYLOU CDEBACA LMSW
767 DON GALLEGOS CIR
LAS VEGAS, NM 87701-8927
Phone number: 505-426-6117