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Individual

RUSSELL E ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LISW

Contact information

Practice address
1201 EUBANK BLVD NE, SUITE 6, ALBUQUERQUE, NM 87112-5386
(505) 292-1554
(505) 292-1574
Mailing address
1201 EUBANK BLVD NE, SUITE 6, ALBUQUERQUE, NM 87112-5386
(505) 292-1554
(505) 292-1574

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05493
NM

Other

Enumeration date
01/10/2007
Last updated
07/08/2007
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