Individual
KRISTINA WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
500 UNSER BLVD SE, RIO RANCHO, NM 87124-4660
(505) 916-2007
Mailing address
7412 PRIMROSE DR NW, ALBUQUERQUE, NM 87120-5236
(505) 720-8185
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2023-0500
NM
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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