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Individual

MS. JANE PRINCE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
2600 MARBLE AVE NE, BLDG 2, ALBUQUERQUE, NM 87106-2058
(505) 220-7880
(505) 288-3573
Mailing address
PO BOX 2427, 133 RINCON LOOP, TIJERAS, NM 87059-2427
(505) 186-1319

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I 2539
NM

Other

Enumeration date
11/04/2005
Last updated
06/19/2012
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