Individual
IAN GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
9400 BENAVIDES RD SW, ALBUQUERQUE, NM 87121-7910
(505) 836-7745
Mailing address
PO BOX 25704, ALBUQUERQUE, NM 87125-0704
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-10870
NM
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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