Individual
TANYA TIJERINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10500 COYOTE CANYON PL NW, ALBUQUERQUE, NM 87114-5948
(505) 203-5328
Mailing address
10500 COYOTE CANYON PL NW, ALBUQUERQUE, NM 87114-5948
(505) 203-5328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C-08274
NM
Other
Enumeration date
06/30/2011
Last updated
08/06/2023
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