Individual
MARIA GASTELUM-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3150 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-1678
(505) 663-6494
Mailing address
3150 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-1678
(505) 663-6494
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/02/2024
Last updated
10/10/2024
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