Individual
ANGELICA REGINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
229 MOON ST NE, ALBUQUERQUE, NM 87123-2637
(505) 573-0346
Mailing address
PO BOX 8951, ALBUQUERQUE, NM 87198-8951
(505) 948-6175
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C11614
NM
1041C0700X
Clinical Social Worker
M-08898
NM
Other
Enumeration date
11/24/2014
Last updated
07/13/2023
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