Individual
SANDRA LEE NORTHROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 345-8471
(505) 342-5414
Mailing address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 345-8471
(505) 342-5414
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
127903-121
WI
104100000X
Social Worker
2435G
AL
104100000X
Social Worker
Primary
X-06907
NM
Other
Enumeration date
02/23/2010
Last updated
05/12/2010
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