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1912913674
LISA PENCE
SANTA FE, NM
NPI
1912913674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NM I-2538)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
LISA PENCE L.I.S.W.
1444 S SAINT FRANCIS DR # C
SANTA FE, NM 87505-4038
Phone number: 505-982-8228
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Mailing Address
LISA PENCE L.I.S.W.
PO BOX 22960
SANTA FE, NM 87502-2960
Phone number:
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