Individual
KERTTU REESNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1805 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-4905
(505) 842-9911
Mailing address
1805 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-4905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-11310
NM
Other
Enumeration date
11/22/2019
Last updated
09/18/2020
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