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MAGNOLIA BEATRIZ GONZALEZ HEATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
120 DARTMOUTH DR SE, UNIT D, ALBUQUERQUE, NM 87106
(505) 333-9042
(505) 796-5475
Mailing address
120 DARTMOUTH DR SE APT D, ALBUQUERQUE, NM 87106-2261
(505) 333-9042
(505) 796-5475

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary
C-10610
NM
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12425851
NM
Enumeration date
09/13/2011
Last updated
12/02/2025
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