Maria Tonita Brock, L.I.S.W. Valid NPI

Individual provider · Clinical Social Worker · Albuquerque, NM

NPI

1962730606

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

I-05878 (NM)

Sex

Female

Sole proprietor

Yes

Enumerated

2009-11-18

Last updated

2009-11-18