Individual
CYNTHIA SONTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSWAC, LCSW, SAP
Contact information
Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4397
(505) 842-8171
(505) 246-0684
Mailing address
310 13TH ST NW, ALBUQUERQUE, NM 87102-1834
(505) 263-1001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-1991
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99294
—
NM
Enumeration date
09/26/2006
Last updated
02/08/2021
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