Individual
MRS. SABRINA ILUTZI MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
4233 MONTGOMERY BLVD NE, SUITE 240 WEST, ALBUQUERQUE, NM 87109-6749
(505) 766-5311
(505) 883-3076
Mailing address
929 MADISON ST NE, ALBUQUERQUE, NM 87110-6214
(505) 232-2929
(505) 765-1100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-05014
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202004937
PRESBYTERIAN
NM
05
—
88731511
—
NM
01
—
NM00JL92
BCBS
NM
Enumeration date
06/12/2006
Last updated
07/16/2014
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