Lisa Gallegos Graham MSW

NPI 1740331578 - Social Worker - 1041C0700X

NPI Details
NPI 1740331578
Gender Female
Enumeration Date 01/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1501 SAN PEDRO DR SE
ALBUQUERQUE NM, 87108-5153, US
Phone (505) 265-1711
Fax (505) 256-2819
Business Location
10304 CEDAR SPRINGS PL NW
ALBUQUERQUE NM, 87114-4759, US
Phone (505) 897-3984
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New Mexico
License Number I-0406
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According to our database, Mrs. Lisa Gallegos Graham MSW NPI is 1740331578, taxonomy code is 1041C0700X and license number is I-0406, license state is located at New Mexico. Lisa Gallegos Graham MSW physically located at 1501 San Pedro Dr Se, Albuquerque NM, 87108-5153. NPI Number Lisa Gallegos Graham MSW has the Individual type.

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1740331578 NPI number is provided on an as is basis without warranty of any kind. 1740331578 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Gallegos Graham MSW are for informational purposes only.