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General NPI Number Information
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NPI Number | 1437021193
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Entity Type | Organization
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Legal Business Name | SOUTHWEST FAMILY GUIDENCE
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 755 SOUTH TELSHORE BLVD SUITE 201B
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City | LAS CRUCES
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State | NM
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Zip | 88011
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Country | US
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Telephone | 575-524-6820
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Fax |
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Provider Business Mailing Address
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Address Line | 755 SOUTH TELSHORE BLVD SUITE 201B
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City | LAS CRUCES
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State | NM
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Zip | 88011
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Country | US
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Telephone | 575-524-6820
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Fax |
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Authorized Official
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Title or Position | MST
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Name | LEE E KLEIN
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Credential |
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Telephone | 917-679-7807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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