Individual
JORGE OSCAR BROZICEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
961 ALAMEDA RD NW, ALBUQUERQUE, NM 87114-1901
(505) 273-0566
Mailing address
961 ALAMEDA RD NW, ALBUQUERQUE, NM 87114-1901
(505) 273-0566
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-11468
NM
Other
Enumeration date
02/05/2019
Last updated
01/21/2025
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