Individual
MRS. CHERRISH CONNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6136 CANIS AVE NW, ALBUQUERQUE, NM 87114-5219
(505) 480-0825
Mailing address
6136 CANIS AVE NW, ALBUQUERQUE, NM 87114-5219
(505) 480-0825
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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