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Search › New Mexico › 1041C0700X

Diane Wagner, LISW

NPI 1083777148 · on the registry since 2006

Practice

Address
5100 2nd St Nw
Albuquerque, NM 87107
Phone
(505) 761-6600
Organisation at this address
Bernalillo County
Bernalillo County
Goodrow Family & Youth Institute
Bernalillo County Youth Services Center
Bernalillo County Youth Services Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico