Individual
PATRICIA S PESANTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
625 SILVER AVE SW STE 324, ALBUQUERQUE, NM 87102-3184
(505) 244-1330
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09915
NM
1041C0700X
Clinical Social Worker
M-08881
NM
1041C0700X
Clinical Social Worker
X-08797
NM
Other
Enumeration date
04/02/2014
Last updated
10/07/2024
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