Individual
MR. PHILIP JEROME TATORIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
6505 KAAS TRAIL CT NE, ALBUQUERQUE, NM 87111-7114
(505) 400-6163
Mailing address
6505 KAAS TRAIL CT NE, ALBUQUERQUE, NM 87111-7114
(505) 400-6163
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06315
NM
Other
Enumeration date
04/04/2007
Last updated
12/22/2021
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