Individual
MS. BEATRICE H BOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3214 PURDUE PL NE, ALBUQUERQUE, NM 87106-2124
(505) 480-5241
Mailing address
3214 PURDUE PL NE, ALBUQUERQUE, NM 87106-2124
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I3576
NM
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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