Individual
AMY WESSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2074 GALISTEO ST, STE B4, SANTA FE, NM 87505-2157
(505) 629-7698
Mailing address
PO BOX 203, GLORIETA, NM 87535-0203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06523
NM
Other
Enumeration date
08/14/2007
Last updated
07/31/2017
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