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Organization

UNIVERSITY HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIRGINA BRADY LMFT (SUPERVISOR)
(505) 272-2190
Entity
Organization

Contact information

Practice address
2600 MARBLE NE BLDG 2, ALBUQUERQUE, NM 87131-0001
(505) 272-2190
(505) 272-3466
Mailing address
933 BRADBURY DR SE, ALBUQUERQUE, NM 87106-4374
(505) 270-3120

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/19/2012
Last updated
07/19/2012
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