Organization
A SHARED PATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRU LEBEZNICK BROWN LCSW (CLINICAL DIRECTOR)
(505) 730-6735
Entity
Organization
Contact information
Practice address
4011 BARBARA LOOP SE, SUITE 107, RIO RANCHO, NM 87124-1039
(505) 730-6735
Mailing address
4608 SAM BRATTON AVE NW, ALBUQUERQUE, NM 87114-5333
(505) 730-6735
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-07730
NM
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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