Individual
NICHOLAS TOLLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 896-0928
Mailing address
1422 PASEO DE PERALTA, SANTA FE, NM 87501-4391
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2023-0799
NM
Other
Enumeration date
07/03/2017
Last updated
08/20/2024
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