Individual
AMANDA B DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
707 BROADWAY BLVD NE, SUITE 500, ALBUQUERQUE, NM 87102-2360
(505) 268-0701
Mailing address
707 BROADWAY BLVD NE, SUITE 500, ALBUQUERQUE, NM 87102-2360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-09191
NM
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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