-- RICHARD MALCOLM LISW ⚕️ New Mexico 1649304668

NPI	1649304668
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	1041C0700X Social Worker, Clinical (Licence: NM I-3878)
Enumeration Date	2007-03-14
Last Update Date	2017-09-18

-- RICHARD MALCOLM LISW

5310 SEQUOIA RD NW

ALBUQUERQUE, NM 87120-1249

Phone number: 505-836-7330

-- RICHARD MALCOLM LISW

PO BOX 26666 PHS PROVIDER ENROLLMENT

ALBUQUERQUE, NM 87125-6666

Phone number: 505-923-6770