Individual
LYNETTE CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1812 COUNT FLEET ST SE, ALBUQUERQUE, NM 87123-2394
(505) 379-5819
Mailing address
11904 GIACOMO AVE SE, ALBUQUERQUE, NM 87123-2497
(505) 379-5819
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06944
NM
Other
Enumeration date
07/06/2006
Last updated
02/23/2019
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