Individual
MATHILDE ELISE MIQUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4628 LA VIDA NUEVA DEL SUR SW, ALBUQUERQUE, NM 87105-2659
(505) 918-6824
Mailing address
4628 LA VIDA NUEVA DEL SUR SW, ALBUQUERQUE, NM 87105-2659
(505) 918-6824
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-05085
NM
Other
Enumeration date
12/12/2006
Last updated
10/18/2016
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