ADDRESS CHANGE REQUEST

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  3. ADDRESS CHANGE REQUEST

61-23-20, NMSA 1978 mandates, "D. Each licensee shall have the responsibility to notify the board of any change of address."

To submit an address change request, please fill out the form below.

Note: Please note, this mailing address will appear on the roster.

Online Address Change Request Form

License/Certification Designation

Not Certified nor Licensed

15 + 7 =

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