Individual
MR. GLENN WOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
HC 69 BOX 47, SAPELLO, NM 87745-9604
(505) 454-8381
Mailing address
HC 69 BOX 47, SAPELLO, NM 87745-9604
(505) 454-8381
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-1306
NM
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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