Individual
ELIZABETH CORPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4808
(505) 717-1332
Mailing address
4201 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4808
(505) 717-1332
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SWB-2023-0514
NM
104100000X
Social Worker
Primary
SWB-2023-1314
NM
1041S0200X
School Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/01/2021
Last updated
12/13/2024
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