Provider Demographics
NPI:1740035823
Name:MARRUFO, SOFIA E
Entity type:Individual
Prefix:
First Name:SOFIA
Middle Name:E
Last Name:MARRUFO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 BELLAMAH AVE NW APT 310
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87104-2079
Mailing Address - Country:US
Mailing Address - Phone:505-507-9592
Mailing Address - Fax:
Practice Address - Street 1:1801 BELLAMAH AVE NW APT 310
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87104-2079
Practice Address - Country:US
Practice Address - Phone:505-507-9592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker