Individual
MS. AMY SARA MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SPECIALIST
Contact information
Practice address
700 2ND ST NW, ALBUQUERQUE, NM 87102-1578
(505) 884-4464
(505) 884-0093
Mailing address
700 2ND ST NW, ALBUQUERQUE, NM 87102-1578
(505) 884-4464
(505) 884-0093
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39778860
—
NM
Enumeration date
09/25/2009
Last updated
01/29/2016
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