Individual
AUBREY BASSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 VENICE AVE NE, ALBUQUERQUE, NM 87113-2337
(505) 916-2007
Mailing address
1533 DENNISON RD SW, ALBUQUERQUE, NM 87105-2815
(505) 974-5119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-10138
NM
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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