Individual
SAMARA D KONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8200 MOUNTAIN RD NE STE 106, ALBUQUERQUE, NM 87110-7835
(505) 830-6500
Mailing address
8200 MOUNTAIN RD NE STE 106, ALBUQUERQUE, NM 87110-7835
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-1530
NM
Other
Enumeration date
12/04/2018
Last updated
09/16/2019
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