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Individual

LINDA BRONSON-WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-5006
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0173491
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
45350728
NM
Enumeration date
10/02/2014
Last updated
08/27/2015
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