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Individual

KAREN R PITZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1424 DEBORAH RD SE, SUITE 205, ALBUQUERQUE, NM 87124-1058
(505) 892-4646
(505) 892-4775
Mailing address
1424 DEBORAH RD SE, SUITE 205, ALBUQUERQUE, NM 87124-1058
(505) 892-4646
(505) 892-4775

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L1795
OR
1041C0700X
Clinical Social Worker
Primary
LISW I-07039
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164936
OR
Enumeration date
12/20/2006
Last updated
06/23/2009
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