Individual
MS. WANDA KAREN BRASGALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4225 RIO GRANDE BLVD NW, ALBUQUERQUE, NM 87107-3134
(505) 265-9020
Mailing address
4225 RIO GRANDE BLVD NW, ALBUQUERQUE, NM 87107-3134
(505) 265-9020
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-1785,LPCC-1330
NM
Other
Enumeration date
03/12/2007
Last updated
07/09/2007
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