Individual
CALANDRA ALEXIS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
4201 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4808
(505) 717-1332
Mailing address
4201 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4808
(505) 717-1332
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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