Individual
MADELEINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
707 BROADWAY NE, NM SOLUTIONS, ALBUQUERQUE, NM 87102-2360
(505) 268-0701
Mailing address
707 BROADWAY NE, NM SOLUTIONS, ALBUQUERQUE, NM 87102-2360
(505) 268-0701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-08817
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39773248
—
NM
Enumeration date
05/14/2013
Last updated
05/03/2016
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