Organization
SORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA HERNANDEZ LISW (OWNER)
(505) 515-5702
Entity
Organization
Contact information
Practice address
3731 RUTLEDGE RD NE, ALBUQUERQUE, NM 87109-5566
(505) 515-5702
Mailing address
3731 RUTLEDGE RD. NE, ALBUQUERQUE, NM 87109
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-08491
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
553554025
—
NM
Enumeration date
08/28/2015
Last updated
08/28/2015
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