Individual
JULIA CORYELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1101 MEDICAL ARTS AVE NE, BLDG 3, ALBUQUERQUE, NM 87102-2706
(505) 842-5300
(505) 765-1100
Mailing address
1101 MEDICAL ARTS AVE NE, BLDG 3, ALBUQUERQUE, NM 87102-2706
(505) 842-5300
(505) 765-1100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M09170
NM
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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