Individual
MARIA DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 COLUMBIA DR NE, ALBUQUERQUE, NM 87106-2601
(505) 908-7396
Mailing address
PO BOX 3404, ALBUQUERQUE, NM 87190-3404
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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