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Contact Information

ALBERT AVERY, LMSW
1201 N 1ST ST
BLOOMFIELD, NM87413-5271
 Phone: 505-634-3500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

1041S0200X
Indicates primary specialty

NPI Profile & details for ALBERT AVERY · (Male)

NPI Number 1851873798
Status Active
Credentials LMSW (Licensed Master Social Worker)
Entity Individual
Enumeration date 09/06/2018
Last updated 09/06/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # M-10211
  • NM Medicaid 1041S0200X
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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