Individual
MR. JOHN PATRICK BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.I.S.W.
Contact information
Practice address
6729 4TH ST NW, ALBUQUERQUE, NM 87107-6114
(505) 342-4678
(505) 242-4739
Mailing address
1901 SOL RIO CT NW, ALBUQUERQUE, NM 87107-3070
(505) 345-3725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-3898
NM
1041C0700X
Clinical Social Worker
LSW0000004290
TN
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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