RICHARD MALCOLM

ALBUQUERQUE, NM
NPI1649304668
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NM  I-3878)
Enumeration Date2007-03-14
Last Update Date2017-09-18
Business Address
RICHARD MALCOLM LISW
5310 SEQUOIA RD NW
ALBUQUERQUE, NM 87120-1249
Phone number: 505-836-7330
Mailing Address
RICHARD MALCOLM LISW
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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