Individual
MATTHEW FORSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 338-1651
Mailing address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 338-1651
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
850368993
—
NM
Enumeration date
01/28/2019
Last updated
01/28/2019
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