DIANA BLADE

SANTA FE, NM
NPI1811619471
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NJ  SWB-2022-0733)
Enumeration Date2022-09-12
Last Update Date2022-09-12
Business Address
DIANA BLADE LMSW
4001 OFFICE COURT DR STE 102
SANTA FE, NM 87507-4903
Phone number: 505-395-9437
Mailing Address
DIANA BLADE LMSW
3016 SIRINGO RD
SANTA FE, NM 87507-5046
Phone number: 505-310-4682
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