Marianne Vivica Meador
Social Worker, Clinical in Albuquerque, NM. Individual provider (NPI-1).
NPI number1780997387
StatusActive
Last updated in NPPESJul 23, 2010
Details
- NPI
- 1780997387
- Entity type
- Individual (NPI-1)
- Name
- Marianne Vivica Meador
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2010
- Last updated
- Jul 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I-06790 | NM | Yes |
Practice location
8600 Academy Rd NeAlbuquerque, NM 87111-1107
Phone 505-821-3628 · Fax 505-856-7103
Mailing address
8600 Academy Rd NeAlbuquerque, NM 87111-1107
Phone 505-821-3628 · Fax 505-856-7103
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