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Sandra Lou Ki

Counselor, Mental Health in Farmington, NM. Individual provider (NPI-1).

NPI number1043665565
StatusActive
Last updated in NPPESMay 3, 2016

Details

NPI
1043665565
Entity type
Individual (NPI-1)
Name
Sandra Lou Ki
Sex
Female
Sole proprietor
Yes
Enumeration date
May 3, 2016
Last updated
May 3, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health0159691NMYes

Practice location

406 Airport Dr
Farmington, NM 87401-5518

Phone 505-325-5358 · Fax 505-564-8368

Mailing address

807 W Apache St
Farmington, NM 87401-5527

Phone 505-325-5358 · Fax 505-564-8368

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