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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BONITA WICKSTROM INC

Active Organization

BONITA WICKSTROM INC is a Clinical Social Worker organization located in ALBUQUERQUE, New Mexico. NPI 1548205289 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ALBUQUERQUE, NM

Registration Details

NPI Number
1548205289
Provider Type
Organization
NPI Issued
Jun 17, 2006 (20.123438173688 yrs)
Last Updated
Jan 29, 2008
License
I4390 (NM)

Practice Information

Address
12836 LOMAS BLVD NE
SUITE B
ALBUQUERQUE, NM, 871126210
Browse NM providers · Browse ZIP 87112
Phone
5054537862
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Organizations in ALBUQUERQUE, NM

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.