Individual
BRIANNA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3150 CARLISLE BLVD NE STE 105, ALBUQUERQUE, NM 87110-1680
(505) 633-8173
(505) 207-7421
Mailing address
944A MOUNTAIN LAUREL CIR SE, ALBUQUERQUE, NM 87116-1251
(231) 286-7428
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2023-1078
NM
Other
Enumeration date
09/19/2022
Last updated
11/26/2024
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