LISA A MCTAVIS

ALBUQUERQUE, NM
NPI1891132346
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NM  M-08387)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: NM  X-08111)
Enumeration Date2013-05-23
Last Update Date2015-02-05
Business Address
-- LISA A MCTAVIS PMSW
2551 COORS BLVD NW
ALBUQUERQUE, NM 87120-1213
Phone number: 505-338-3320
Mailing Address
-- LISA A MCTAVIS PMSW
2551 COORS BLVD NW
ALBUQUERQUE, NM 87120-1213
Phone number: