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Individual

TARA C SENIEUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
5400 CUTLER AVE NE, ALBUQUERQUE, NM 87110-4073
(505) 883-5680
Mailing address
1410 CENTRAL AVE SW, ALBUQUERQUE, NM 87104-1152
(505) 764-0014

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-4247
NM

Other

Enumeration date
03/06/2007
Last updated
07/08/2007
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