Individual
MS. EMERSON S CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3901 GEORGIA ST NE STE A4, ALBUQUERQUE, NM 87110-1391
(505) 322-9057
(505) 891-1768
Mailing address
3901 GEORGIA ST NE STE A4, ALBUQUERQUE, NM 87110-1391
(505) 322-9057
(505) 891-1768
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-3028
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201034675
PRESBYTERIAN HEALTH PLAN
NM
05
—
55330266
—
NM
Enumeration date
10/29/2006
Last updated
05/21/2019
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