Individual
MRS. BRIANNE ERIN WARD-HERSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10804 MARBLE STONE DR NW, ALBUQUERQUE, NM 87114-2024
(505) 415-2423
Mailing address
10804 MARBLE STONE DR NW, ALBUQUERQUE, NM 87114-2024
(505) 415-2423
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
247200000X
Other Technician
506826004
NM
Other
Enumeration date
04/06/2016
Last updated
04/17/2019
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