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Individual

ELIZABETH DIESEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1020 LAFAYETTE DR NE, ALBUQUERQUE, NM 87106-1902
(505) 600-1178
Mailing address
1101 MEDICAL ARTS AVE NE, BLDG 3-100, ALBUQUERQUE, NM 87102-2706
(505) 842-5300
(505) 998-1362

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-11630
NM

Other

Enumeration date
08/19/2014
Last updated
03/21/2023
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