Individual
GABRIELLE MONIQUE MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2535 MERVOSH AVE SW, ALBUQUERQUE, NM 87105-4821
(505) 559-0593
Mailing address
2535 MERVOSH AVE SW, ALBUQUERQUE, NM 87105-4821
(505) 559-0593
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-11564
NM
Other
Enumeration date
07/28/2020
Last updated
11/10/2020
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