Individual
MRS. LISA GALLEGOS GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-2819
Mailing address
10304 CEDAR SPRINGS PL NW, ALBUQUERQUE, NM 87114-4759
(505) 897-3984
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0406
NM
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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