Individual
GINNETTE P WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3885 FOOTHILLS RD STE B, LAS CRUCES, NM 88011-4672
(505) 521-3388
(505) 521-4023
Mailing address
3885 FOOTHILLS RD STE B, LAS CRUCES, NM 88011-4672
(505) 521-3388
(505) 521-4023
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-05935
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70239843
—
NM
Enumeration date
08/11/2006
Last updated
07/08/2007
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