Organization
SW THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARI-ANNE CHANEY (OFFICE MANAGER)
(505) 315-3128
Entity
Organization
Contact information
Practice address
2113 ALHAMBRA AVE SW, ALBUQUERQUE, NM 87104-1601
(575) 770-1073
Mailing address
PO BOX 26372, ALBUQUERQUE, NM 87125-6372
(575) 770-1700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42685222
—
NM
Enumeration date
10/24/2020
Last updated
02/06/2024
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