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Individual

REBECCA J POOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
1138 CARDENAS DR SE, ALBUQUERQUE, NM 87108-4809
(505) 268-3961
(505) 260-2000
Mailing address
10319 BETTS ST NE, ALBUQUERQUE, NM 87112-1533
(505) 271-6963

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05964
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
83403809
NM
Enumeration date
11/30/2006
Last updated
07/08/2007
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