Individual
GAIL JENNINGS-PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2600 MARBLE NE, ALBUQUERQUE, NM 87131-0001
(505) 272-2190
(505) 272-3466
Mailing address
2 DEMORA CT, SANTA FE, NM 87508-8755
(505) 466-3370
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I 3389
NM
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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