Individual
MR. SRINI VARADARAJAN VASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
2600 MARBLE AVE NE # 1, ALBUQUERQUE, NM 87106-2058
(505) 272-9123
Mailing address
2600 MARBLE AVE NE # 1, ALBUQUERQUE, NM 87106-2058
(505) 272-9123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-04756
NM
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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