Individual
DIANA LANGBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4001 OFFICE COURT DR STE 102, SANTA FE, NM 87507-4903
(505) 395-9437
(505) 930-5427
Mailing address
4001 OFFICE COURT DR STE 102, SANTA FE, NM 87507-4903
(505) 395-9437
(505) 930-5427
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X12200
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X12200
STATE LICENSE
NM
Enumeration date
10/20/2021
Last updated
10/20/2021
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