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Individual

HONOR HEINDL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7613
(505) 291-2134
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
X-09533
NM
1041C0700X
Clinical Social Worker
Primary
C-10352
NM

Other

Enumeration date
06/28/2016
Last updated
03/24/2021
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