Individual
SUSAN E WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(505) 242-4399
Mailing address
510 13TH ST SW, ALBUQUERQUE, NM 87102-2818
(575) 405-2869
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-11636
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/18/2018
Last updated
06/19/2024
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