Individual
TERESA DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1428 MANZANO ST NE, ALBUQUERQUE, NM 87110-5019
(928) 607-2801
Mailing address
1428 MANZANO ST NE, ALBUQUERQUE, NM 87110-5019
(928) 607-2801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW10397
AZ
1041C0700X
Clinical Social Worker
Primary
SWB-2022-0112
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
774861
—
AZ
Enumeration date
01/26/2006
Last updated
07/27/2022
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