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Individual

BERNADETTE C SILVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-05769
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
79274757
NM
Enumeration date
10/25/2006
Last updated
05/02/2008
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