Individual
PAIGE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3405 PAN AMERICAN FWY NE, ALBUQUERQUE, NM 87107-4786
(505) 222-0355
Mailing address
3405 PAN AMERICAN FWY NE, ALBUQUERQUE, NM 87107-4786
(505) 222-0355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB20250245
NM
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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