Individual
MS. MARCY ANNE SANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 BRIDGE BLVD SW, ALBUQUERQUE, NM 87105-3736
(505) 205-4906
Mailing address
1104 BRIDGE BLVD SW, ALBUQUERQUE, NM 87105-3736
(505) 205-4906
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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