Individual
CRYSTAL PUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5400 GIBSON BLVD SE STE 3, ALBUQUERQUE, NM 87108-5181
(505) 254-4564
Mailing address
10329 LOS ARBOLES AVE NE, ALBUQUERQUE, NM 87112-1518
(505) 435-4152
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2022-0883
NM
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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