Individual
MS. GEORGINA G. ALBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1201 N 1ST ST, BLOOMFIELD, NM 87413-5271
(505) 634-3564
(505) 634-3584
Mailing address
1201 N 1ST ST, BLOOMFIELD, NM 87413-5271
(505) 634-3564
(505) 634-3584
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M-4380
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98473875
—
NM
Enumeration date
05/21/2007
Last updated
07/09/2007
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