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Individual

MS. MARJORIE S MOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5400 GIBSON BLVD SE, 4TH FLOOR, ALBUQUERQUE, NM 87108-4729
(505) 254-4500
(505) 266-0838
Mailing address
3102 WEST END AVE, SUITE 1000, NASHVILLE, TN 37203-1324
(505) 254-4500
(505) 266-0838

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C-06896

Other

Enumeration date
06/07/2017
Last updated
06/07/2017
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