Individual
KRISTIN MIHALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8300 CONSTITUTION AVE, PMG KASEMAN BEHAVIORAL MEDICINE, ALBUQUERQUE, NM 87110-7613
(505) 291-2504
Mailing address
8300 CONSTITUTION AVE, PMG KASEMAN BEHAVIORAL MEDICINE, ALBUQUERQUE, NM 87110-7613
(505) 291-2504
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-08086
NM
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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