Individual
AYISHA MARRERO MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
541 QUANTUM RD NE, RIO RANCHO, NM 87124-4502
(505) 994-9178
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
(505) 338-3320
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-08806
NM
Other
Enumeration date
09/23/2009
Last updated
02/24/2016
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