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Organization
HESTER BALSAM, MSW, LCSW, LLC
Active
Organization
HESTER BALSAM, MSW, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HESTER BALSAM (OWNER)
(505) 899-1020
Entity
Organization
Contact information
Practice address
120 ORTEGA RD NE, ALBUQUERQUE, NM 87113-1430
(505) 899-1020
Mailing address
120 ORTEGA RD NE, ALBUQUERQUE, NM 87113-1430
(505) 899-1020
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
I-05220
NM
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
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Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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