Individual
ANDRERA NICOLE DAUMUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 565-1761
Mailing address
PO BOX 72943, ALBUQUERQUE, NM 87195-2943
(505) 620-9946
(505) 565-2723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M06166
NM
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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