Most Relevant Information
Provider Data
| NPI Number: | 1003523226 |
| Provider Name: | TALIA W SLEDGE LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/28/2022 |
| Last Updated: | 06/05/2024 |
Provider Practice Location
1709 MOON ST NE
ALBUQUERQUE
NM
871123935
Practice Location Phone/Fax
| Phone: | 5052710329 |
| Fax: | 5052714957 |
Provider Mailing Location
2930 TRELLIS DR NW
ALBUQUERQUE
NM
871072974
Provider Mailing Phone/Fax
| Phone: | 5058503502 |
| Fax: |