Organization
ERIN M LILLY LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARI-ANNE CHANEY (OFFICE MANAGER)
(505) 554-3435
Entity
Organization
Contact information
Practice address
3321B CANDELARIA RD NE STE 406, ALBUQUERQUE, NM 87107-1908
(575) 386-7744
Mailing address
PO BOX 2455, TIJERAS, NM 87059-2455
(575) 386-7744
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87439786
—
NM
Enumeration date
10/30/2020
Last updated
02/04/2022
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