Individual
AMY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
215 COWBOY WAY, EDGEWOOD, NM 87015-9616
(505) 508-7071
Mailing address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 688-9384
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C11028
NM
Other
Enumeration date
02/10/2015
Last updated
09/30/2025
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