Individual
MS. LINDA CAROL WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
5543 COSTA UERDE RD NW, ALBUQUERQUE, NM 87120-2723
(505) 506-2911
Mailing address
5543 COSTA UERDE RD NW, ALBUQUERQUE, NM 87120-2723
(505) 506-2911
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-08453
NM
Other
Enumeration date
12/12/2011
Last updated
09/20/2013
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