Individual
RENEE ADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 910-3250
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 910-3250
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-10484
NM
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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