Individual
ALLYSON MAE GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
901 RIO GRANDE BLVD NW STE H160, ALBUQUERQUE, NM 87104-2063
(505) 278-0807
Mailing address
901 RIO GRANDE BLVD NW STE H160, ALBUQUERQUE, NM 87104-2063
(505) 278-0807
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2024-0614
NM
Other
Enumeration date
12/14/2020
Last updated
07/10/2024
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