Individual
GLORIA J BLEA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
PO BOX 70112, ALBUQUERQUE, NM 87197-0112
(505) 259-1737
(505) 448-7925
Mailing address
PO BOX 70112, ALBUQUERQUE, NM 87197-0112
(505) 259-1737
(505) 448-7925
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-07544
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49821342
—
NM
Enumeration date
10/11/2006
Last updated
04/20/2024
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