Organization
SORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA HERNANDEZ (OWNER)
(505) 515-5702
Entity
Organization
Contact information
Practice address
2543 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-1037
(505) 515-5702
Mailing address
2313 GEMINI RD NE, RIO RANCHO, NM 87124-7572
(505) 515-5702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-08491
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55354025
—
NM
Enumeration date
10/06/2014
Last updated
10/06/2014
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