Individual
MRS. BHANU JOY HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
4308 CARLISLE BLVD NE, SUITE 209, ALBUQUERQUE, NM 87107-4856
(505) 837-2100
(505) 888-7943
Mailing address
4308 CARLISLE BLVD NE, SUITE 209, ALBUQUERQUE, NM 87107-4856
(505) 837-2100
(505) 888-7943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I5529
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02158728
—
NM
01
—
201047515
PRESBYTERIAN HEALTH PLAN
NM
01
—
NM101457
VALVE OPTIONS
NM
01
—
VNM0130
VALVE OPTIONS
NM
Enumeration date
06/07/2006
Last updated
05/25/2010
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