Individual
PATRICIA L KORENCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,
Contact information
Practice address
10925 MALAGUENA LN NE, ALBUQUERQUE, NM 87111
(505) 385-8496
Mailing address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 271-0329
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C08243
NM
1041C0700X
Clinical Social Worker
X-06988
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79356052
—
NM
Enumeration date
09/24/2010
Last updated
06/01/2018
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