Individual
THERESE IRENE FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1207 GOLF COURSE RD SE, RIO RANCHO, NM 87124-1999
(505) 994-4100
Mailing address
1683 DOMAIN LOOP SE, ALBUQUERQUE, NM 87124-2840
(505) 550-7945
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C-09654
NM
Other
Enumeration date
07/10/2013
Last updated
04/03/2018
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