Individual
SEAN COWGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
8205 SPAIN RD NE STE 106, ALBUQUERQUE, NM 87109
(505) 856-0300
Mailing address
2015 WYOMING BLVD NE STE J, ALBUQUERQUE, NM 87112-2646
(505) 389-7129
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NM
175T00000X
Peer Specialist
Primary
1656
NM
Other
Enumeration date
08/19/2024
Last updated
10/29/2024
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