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Organization

NEW MEXICO VA HEALTH CARE SYSTEM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MANUEL E. ROMO MSW (SOCIAL WORKER)
(505) 265-1711
Entity
Organization

Contact information

Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
5741 OSUNA RD NE, APT. 1050, ALBUQUERQUE, NM 87109-2567
(505) 830-6907

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0159
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
I-0159
SOCIAL WORK
NM
Enumeration date
09/11/2006
Last updated
08/22/2020
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