Individual
MS. KATHLEEN NMN MANYGOATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 248-4083
(505) 248-7733
Mailing address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 248-4083
(505) 248-7733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0459
NM
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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