Individual
MARY E. ALONZO I
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
240 ESTANCIA DR NW, ALBUQUERQUE, NM 87105-1867
(505) 836-5201
Mailing address
240 ESTANCIA DR NW, ALBUQUERQUE, NM 87105-1867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1458
NM
Other
Enumeration date
11/04/2005
Last updated
07/08/2007
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