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Individual

MS. JOAN LYNNE LEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
5516 OVERLOOK DR NE, ALBUQUERQUE, NM 87111-1881
(505) 831-2591
(505) 831-2591
Mailing address
5516 OVERLOOK DR NE, ALBUQUERQUE, NM 87111-1881
(505) 831-2591
(505) 831-2591

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06070
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17859255
NM
Enumeration date
05/11/2006
Last updated
11/13/2008
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