Individual
JEANNE M WENZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1450 S SAINT FRANCIS DR, SANTA FE, NM 87505-4038
(505) 944-5560
Mailing address
1004 CAMINO DE CHELLY, SANTA FE, NM 87505-6263
(505) 944-5560
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-07313
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42121345
—
NM
Enumeration date
05/07/2010
Last updated
12/13/2010
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