Wagoner-Ford, Anne Susan

Wagoner-Ford, Anne Susan is an individual health care provider with primary practice located at 2600 Yale Blvd Se , Albuquerque NM 87106-4217. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wagoner-Ford, Anne Susan can be contacted via phone (505) 994-7999.

Contact Information

Primary practice address
2600 Yale Blvd Se Albuquerque NM 87106-4217
Fax: (505) 994-7975
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-08810 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X C008083 North Carolina

Profile Details

NPI number 1689962227
LBN Legal business name Wagoner-Ford, Anne Susan
Credentials MSW, LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2011
Last updated Nov 7th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers