Individual
MARINA ISABELLA MAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5201 VENICE AVE NE, ALBUQUERQUE, NM 87113-2337
(505) 916-2007
Mailing address
5201 VENICE AVE NE, ALBUQUERQUE, NM 87113-2337
(505) 916-2007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-10449
NM
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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