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1922630755
KATANA WOLF
LAS CRUCES, NM
NPI
1922630755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: NM 1046)
Enumeration Date
2020-02-10
Last Update Date
2020-02-10
Business Address
KATANA WOLF Peer Support Worker
105 W GRIGGS AVE
LAS CRUCES, NM 88001-1235
Phone number: 575-647-2879
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Mailing Address
KATANA WOLF Peer Support Worker
385 CALLE DE ALEGRA STE A
LAS CRUCES, NM 88005-3423
Phone number: 575-526-1105
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