Individual
MS. ELIZABETH MARIE WIENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW C-10072
Contact information
Practice address
2600 MARBLE AVENUE NE BUILDING #2, ALBUQUERQUE, NM 87131-1132
(505) 272-2190
Mailing address
13104 NEON AVE NE, ALBUQUERQUE, NM 87112-4866
(415) 319-3824
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10072
NM
Other
Enumeration date
10/16/2007
Last updated
07/13/2023
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