Beth O'Rourke, LISW
Social Worker, Clinical in Albuquerque, NM. Individual provider (NPI-1).
NPI number1396802443
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1396802443
- Entity type
- Individual (NPI-1)
- Name
- Beth O'Rourke
- Credential
- LISW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 1, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I-4360 | NM | Yes |
Practice location
301 Graceland Dr Se Ste EAlbuquerque, NM 87108-2778
Phone 505-255-1756 · Fax 505-255-1293
Mailing address
301 Graceland Dr Se Ste EAlbuquerque, NM 87108-2778
Phone 505-255-1756 · Fax 505-255-1293
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