Individual
ELIZABETH PEARCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 WELLESLEY DR NE, ALBUQUERQUE, NM 87107-1812
(505) 507-0297
Mailing address
PO BOX 1014, SANDIA PARK, NM 87047-1014
(505) 507-0297
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06945
NM
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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