Individual
MS. JANICE LYN KOLTONUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
4316 CARLISLE BLVD NE, STE D, ALBUQUERQUE, NM 87107-4829
(505) 837-2100
(505) 888-7943
Mailing address
4316 CARLISLE BLVD NE, STE D, ALBUQUERQUE, NM 87107-4829
(505) 837-2100
(505) 888-7943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I3882
NM
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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