Organization
SANDIA FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURCIO LOPEZ-MARQUEZ LCSW (OWNER/PRESIDENT)
(505) 913-1473
Entity
Organization
Contact information
Practice address
971 RECREO CT, LOS LUNAS, NM 87031-7467
(505) 913-1473
Mailing address
971 RECREO CT, LOS LUNAS, NM 87031-7467
(505) 913-1473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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