Autumn Drags Wolf, LCSW
Social Worker, Clinical in Albuquerque, NM. Individual provider (NPI-1).
NPI number1124458633
StatusActive
Last updated in NPPESFeb 13, 2019
Details
- NPI
- 1124458633
- Entity type
- Individual (NPI-1)
- Name
- Ms. Autumn Drags Wolf
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 19, 2013
- Last updated
- Feb 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | X-08328 | NM | Yes |
Practice location
11005 Spain Rd Ne Ste 15Albuquerque, NM 87111-1871
Phone 505-715-9673
Mailing address
1035 Don Romero Dr SwAlbuquerque, NM 87105-3996
Phone 505-715-9673
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