Individual
ERICA JUSTINE SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6101 SEQUOIA RD NW, APT F-21, ALBUQUERQUE, NM 87120-3412
(575) 993-1364
Mailing address
6101 SEQUOIA NW, APT F-21, ALBUQUERQUE, NM 87120-9547
(575) 993-1364
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M-0613
NM
Other
Enumeration date
01/22/2016
Last updated
02/23/2017
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