Individual
NECOLE A VLASOVETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5400 GIBSON BLVD SE STE 4, ALBUQUERQUE, NM 87108-5181
(505) 254-4500
Mailing address
5400 GIBSON BLVD SE STE 4, ALBUQUERQUE, NM 87108-5181
(505) 254-4500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-09398
NM
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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