Individual
ANGELA M TEERTSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1001 NIGHT SKY AVE NE, RIO RANCHO, NM 87144-6017
(505) 896-3378
Mailing address
4310 66TH ST NW, ALBUQUERQUE, NM 87120-1657
(505) 620-8818
(505) 620-8818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-07032
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39658562
—
NM
Enumeration date
07/20/2009
Last updated
08/10/2016
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