Individual
JESSICA NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 LOUISIANA BLVD NE STE A2, ALBUQUERQUE, NM 87110-3550
(505) 209-2442
Mailing address
430 MONROE ST NE APT B, ALBUQUERQUE, NM 87108-1458
(505) 514-5110
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-11092
NM
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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