Individual
MS. EVOANNA KILEEN KELLEY CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4619 9TH ST NW APT 2, ALBUQUERQUE, NM 87107-3758
(608) 449-3837
Mailing address
4619 9TH ST NW APT 2, ALBUQUERQUE, NM 87107-3758
(608) 449-3847
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
9639-123
WI
1041C0700X
Clinical Social Worker
SW24815
FL
1041C0700X
Clinical Social Worker
Primary
SWB-2024-1306
NM
1041C0700X
Clinical Social Worker
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Other
Enumeration date
09/06/2018
Last updated
08/12/2025
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