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Individual

ABIGAIL LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3150 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-1678
(505) 633-8173
Mailing address
3150 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-1678

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
390200000X
Student in an Organized Health Care Education/Training Program
NM

Other

Enumeration date
10/25/2022
Last updated
05/07/2024
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