Individual
MS. LESLIE SHERRY BLUMENSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2400 WELLESLEY DR NE, ALBUQUERQUE, NM 87107-5106
(505) 766-9361
(505) 243-2252
Mailing address
2400 WELLESLEY DR NE, ALBUQUERQUE, NM 87107-5106
(505) 766-9361
(505) 243-2252
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-04619
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65673727
—
NM
Enumeration date
01/08/2007
Last updated
03/31/2016
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