Individual
MS. CHRISAN HOOPER SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2000 WYOMING BLVD SE, ALBUQUERQUE, NM 87117-5625
(505) 846-0139
Mailing address
8908 HAINES AVE NE, ALBUQUERQUE, NM 87112-3920
(505) 294-6215
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-3163
NM
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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