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Individual

EMMETT J PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
Mailing address
6605 ZIMMERMAN AVE NE, ALBUQUERQUE, NM 87110-5934

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2022-0865
NM

Other

Enumeration date
06/19/2023
Last updated
01/09/2024
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