Individual
CAROLINA SUSANA VERDEZOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2600 YALE BLVD SE, ALBUQUERQUE, NM 87106-4217
(505) 994-7999
Mailing address
2600 YALE BLVD SE, ALBUQUERQUE, NM 87106-4217
(505) 994-7999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09462
NM
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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