Individual
MS. MICHELE R DICUBELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1325 PARK AVE SW APT 202, ALBUQUERQUE, NM 87102-2869
(505) 720-6884
Mailing address
1325 PARK AVE SW APT 202, ALBUQUERQUE, NM 87102-2869
(505) 720-6884
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06250
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38373777
—
NM
Enumeration date
07/30/2006
Last updated
01/14/2015
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