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Individual

GABRIEL C CORDOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
620 LOMAS BLVD NW, ALBUQUERQUE, NM 87102-2080
(505) 247-1701
(505) 247-1704
Mailing address
1321 E POPLAR ST, DEMING, NM 88030-4807
(575) 546-5951
(575) 546-5994

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-10436
NM

Other

Enumeration date
07/24/2019
Last updated
07/24/2019
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