Most Relevant Information
Provider Data
| NPI Number: | 1003235300 |
| Provider Name: | ELIZABETH SORSABAL |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/15/2014 |
| Last Updated: | 04/15/2014 |
Provider Practice Location
2551 COORS BLVD NW
ALBUQUERQUE
NM
871201213
Practice Location Phone/Fax
| Phone: | 5054715006 |
| Fax: |
Provider Mailing Location
2551 COORS BLVD NW
ALBUQUERQUE
NM
871201213
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |