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Individual

ALEXANDRA PADILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-0271
Mailing address
4905 CUTTING AVE NW, ALBUQUERQUE, NM 87114-5306
(505) 620-7772

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2023-1310
NM
104100000X
Social Worker
X-12090
NM
1041C0700X
Clinical Social Worker
M-11945
NM

Other

Enumeration date
08/06/2021
Last updated
04/15/2024
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