Individual
BUNNY LEIGH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
520 N 1ST ST, BLOOMFIELD, NM 87413-5307
(505) 634-3441
Mailing address
10 ROAD 5256, BLOOMFIELD, NM 87413-9779
(505) 632-1403
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M-4024
NM
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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