Individual
MRS. CORAZON ADELA SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8300 CONSTITUTION AVE NE, CONSULT LIAISON, ALBUQUERQUE, NM 87110-7624
(505) 291-2134
(505) 291-2967
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLEMT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10571
NM
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40088278
—
NM
Enumeration date
06/29/2010
Last updated
12/09/2024
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