Individual
REGINA K COLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
7428 VIA DESIERTO NE, ALBUQUERQUE, NM 87113-1288
(505) 342-2927
Mailing address
7428 VIA DESIERTO NE, ALBUQUERQUE, NM 87113-1288
(505) 342-2927
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I04998
NM
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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