Individual
DIANNE C DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
7801 WILSHIRE AVE NE, LA CUEVA HS, ALBUQUERQUE, NM 87122-2807
(505) 823-2327
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I 0044
NM
1041S0200X
School Social Worker
I 0044
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H 3128
—
NM
Enumeration date
03/01/2007
Last updated
01/30/2025
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