Individual
SUZANNE BEAUCAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
6000 SUMMER AVE NE, ALBUQUERQUE, NM 87110-6738
(505) 463-8777
Mailing address
10916 MILKY WAY ST NW, ALBUQUERQUE, NM 87114-1542
(505) 463-8777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05107
NM
Other
Enumeration date
05/23/2007
Last updated
11/07/2013
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