Individual
BRANDIE AJISEFINNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1031 LAMBERTON PL NE, ALBUQUERQUE, NM 87107-1641
(505) 272-8551
Mailing address
PO BOX 21883, ALBUQUERQUE, NM 87154-1883
(510) 939-1931
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW80534
CA
104100000X
Social Worker
Primary
SWB-2023-0384
NM
1041C0700X
Clinical Social Worker
106581
CA
1041C0700X
Clinical Social Worker
LCSW106581
CA
Other
Enumeration date
04/06/2017
Last updated
04/05/2024
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