Individual
TEKLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 MENAUL BLVD NE, CDD, ALBUQUERQUE, NM 87107-1851
(505) 272-0322
(505) 272-2014
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-06507
NM
Other
Enumeration date
04/06/2013
Last updated
03/22/2017
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