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Individual

MRS. BIANCA GENCO-MORRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
17 VENUS RD. WEST, EDGEWOOD, NM 87015
(505) 832-5885
(505) 281-7210
Mailing address
17 VENUS RD. WEST, EDGEWOOD, NM 87015-0000
(505) 832-5885
(505) 281-7210

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-06773
NM
1041S0200X
School Social Worker
300646
NM

Other

Enumeration date
10/03/2012
Last updated
10/03/2012
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