Individual
MRS. MIRIAM WILLIAMS RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
901 RIO GRANDE BLVD NW STE G252, ALBUQUERQUE, NM 87104-2050
(505) 702-8112
(505) 355-2611
Mailing address
901 RIO GRANDE BLVD NW STE G252, ALBUQUERQUE, NM 87104-2050
(505) 226-6320
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M 5741
NM
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99775069
—
NM
Enumeration date
03/02/2007
Last updated
10/17/2023
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