Individual
MS. CONCEPCION S ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
5808 MCLEOD RD NE, SUITE L, ALBUQUERQUE, NM 87109-2455
(505) 884-3636
(505) 884-8181
Mailing address
5808 MCLEOD RD NE, SUITE L, ALBUQUERQUE, NM 87109-2455
(505) 884-3636
(505) 884-8181
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0864
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94588
—
NM
01
—
NM000218
VONM
NM
Enumeration date
08/24/2006
Last updated
07/08/2008
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