Individual
DEANNA OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1300B E RIVER RD, BELEN, NM 87002-7437
(505) 312-0042
(505) 213-0066
Mailing address
1135 MAKIAN PL NW APT 10, ALBUQUERQUE, NM 87120-1073
(505) 514-2650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-8569
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56184077
—
NM
Enumeration date
03/06/2008
Last updated
10/12/2021
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