Individual
ANGELA P MAES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1803 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-4905
(505) 842-9911
(505) 254-9911
Mailing address
1803 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-4905
(505) 842-9911
(505) 254-9911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05065
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36723550
—
NM
Enumeration date
11/13/2006
Last updated
03/22/2011
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