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Individual

MR. CRAWFORD GRANBERRY DENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LISW

Contact information

Practice address
1010 LAS LOMAS RD NE, ALBUQUERQUE, NM 87102-2634
(505) 246-8700
Mailing address
1010 LAS LOMAS RD NE, ALBUQUERQUE, NM 87102-2634
(505) 246-8700

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0041
NM

Other

Enumeration date
06/04/2006
Last updated
10/22/2009
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