Individual
MR. NATHAN FABIAN DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 896-0928
(505) 896-0585
Mailing address
7312 ROCKWOOD RD SW, ALBUQUERQUE, NM 87121-3520
(505) 220-6645
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-07813
NM
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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