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Individual

KRISTAN BURNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
60437
TX
1041C0700X
Clinical Social Worker
Primary
60437
TX

Other

Enumeration date
02/09/2017
Last updated
02/09/2017
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