Individual
ALYSSA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
(505) 338-3320
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
(505) 338-3320
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-09171
NM
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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