Individual
AUTUMN LAURA WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1501 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6731
(505) 265-1711
Mailing address
1501 SAN PEDRO DR. NE, ALBUQUERQUE, NM 87108
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-07100
NM
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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