Individual
JULIETTE KATRINA MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10511 GOLF COURSE RD NW STE 102, ALBUQUERQUE, NM 87114-5917
(505) 508-0808
Mailing address
9705 TAPATIO DR NW, ALBUQUERQUE, NM 87114-3608
(505) 270-4375
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10992
NM
Other
Enumeration date
02/21/2021
Last updated
02/21/2021
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