Individual
LORI GRANADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
1718 YALE BLVD SE, ALBUQUERQUE, NM 87106-4286
(505) 242-3118
(505) 242-3062
Mailing address
11800 MONTGOMERY BLVD NE APT 2066, ALBUQUERQUE, NM 87111-2773
(505) 242-3118
(505) 242-2306
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
B-09668
NM
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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