Individual
BOBBIE FAY LAROCQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4316 CARLISLE BLVD NE STE D, ALBUQUERQUE, NM 87107-4829
(505) 421-0814
Mailing address
PO BOX 40742, ALBUQUERQUE, NM 87196-0742
(505) 519-1502
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2023-1308
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30457874
—
NM
Enumeration date
07/26/2018
Last updated
04/22/2025
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