Individual
BASIEA GRIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 RIO GRANDE BLVD NW STE G252, ALBUQUERQUE, NM 87104-2050
(505) 702-8112
Mailing address
901 RIO GRANDE BLVD NW STE G252, ALBUQUERQUE, NM 87104-2050
(505) 702-8112
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-11351
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2023-0584
NM
Other
Enumeration date
10/06/2020
Last updated
10/11/2023
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