Individual
DORA J SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
725 STAGECOACH RD SE, ALBUQUERQUE, NM 87123-4126
(505) 489-2094
Mailing address
725 STAGECOACH RD SE, ALBUQUERQUE, NM 87123-4126
(505) 489-2094
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
M-10257
NM
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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