Individual
MARY B MAULSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3420 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87106-1238
(505) 281-9066
Mailing address
PO BOX 582, SANDIA PARK, NM 87047-0582
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0088
NM
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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