Individual
MS. AMY CATHERINE MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2400 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87110-4303
(505) 346-9431
(505) 346-9402
Mailing address
11232 CAMPO DEL SOL AVE NE, ALBUQUERQUE, NM 87123-1264
(505) 291-0465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-05376
NM
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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