Individual
CATHERINE BOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 UNIVERSITY OF NM BLDG 73, MSC-06-3870, ALBUQUERQUE, NM 87131-0001
(505) 277-3136
Mailing address
1 UNIVERSITY OF NM BLDG 73, MSC-06-3870, ALBUQUERQUE, NM 87131-0001
(505) 277-3136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-3968
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45054801
—
NM
Enumeration date
04/18/2016
Last updated
02/21/2025
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