Organization
CYNTHIA SONTAG, LISW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA SONTAG (LISW, PC)
(505) 263-1001
Entity
Organization
Contact information
Practice address
1300 LOMAS BLVD NW, ALBUQUERQUE, NM 87104-1234
(505) 263-1001
Mailing address
PO BOX 1971, ALBUQUERQUE, NM 87103-1971
(505) 263-1001
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
I-1991
NM
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99294
—
NM
Enumeration date
01/28/2009
Last updated
01/28/2009
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