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Individual

LINDA SANDERVILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LICSW, LCSW

Contact information

Practice address
4600 PARADISE BLVD NW UNIT 66884, ALBUQUERQUE, NM 87193-4978
(505) 317-7444
(505) 461-1456
Mailing address
4600 PARADISE BLVD NW UNIT 66884, ALBUQUERQUE, NM 87193-4978
(505) 317-7444
(505) 461-1456

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904011329
VA
1041C0700X
Clinical Social Worker
15358
MD
1041C0700X
Clinical Social Worker
Primary
C-10250
NM
1041C0700X
Clinical Social Worker
LC50079629
DC
1041C0700X
Clinical Social Worker
TPSW810
FL

Other

Enumeration date
04/19/2016
Last updated
04/04/2024
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