Individual
MRS. TERRY R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3904 67TH ST NW, ALBUQUERQUE, NM 87120-4935
(505) 836-1178
Mailing address
3904 67TH ST NW, ALBUQUERQUE, NM 87120-4935
(505) 836-1178
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-2680
NM
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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