Individual
ALEGRA LARK ROYBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
901 RIO GRANDE BLVD NW STE G252, ALBUQUERQUE, NM 87104-2050
(505) 702-8112
Mailing address
120 LINDA VIEW PL NE, ALBUQUERQUE, NM 87123-2178
(505) 699-8686
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2022-1065
NM
Other
Enumeration date
07/12/2017
Last updated
03/03/2025
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