MARY MIESEM

ALBUQUERQUE, NM
NPI1083723308
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TP0814X Psychologist, Psychoanalysis
(Licence: NM  731)
Enumeration Date2006-08-30
Last Update Date2008-08-14
Business Address
MARY MIESEM LPCC
PMG KASEMAN BEHAVIORAL MEDICINE 1325 WYOMING NE
ALBUQUERQUE, NM 87112
Phone number: 505-291-5300
Mailing Address
MARY MIESEM LPCC
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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