Individual
MS. MARIA GLORIA MUNGUIA WELLMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2600 MARBLE NE, BUILDING 2, ALBUQUERQUE, NM 87131-0001
(505) 272-2190
(505) 272-3466
Mailing address
202 BRYN MAWR DR NE, ALBUQUERQUE, NM 87106-2103
(505) 272-2190
(505) 272-3466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-04718
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A2696
—
NM
Enumeration date
11/17/2005
Last updated
07/09/2007
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