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Individual

ASPEN GRACE WEIGOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1215 3RD ST NW, ALBUQUERQUE, NM 87102-1480
(505) 242-4399
Mailing address
6865 MOSSMAN PL NE, ALBUQUERQUE, NM 87110-2138

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NM
251S00000X
Community/Behavioral Health Agency
NM

Other

Enumeration date
05/29/2026
Last updated
05/29/2026
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